In 2020 we saw a lot of changes and coding accuracy is more crucial than ever.
Coding accuracy is more crucial than ever. In 2020 we saw a lot of healthcare changes. It started with the Covid-19 pandemic and multiple ICD 10-CM, AMA, and payer coding guideline changes, and more and ended in billions of dollars in fraudulent claims. And that’s why auditing your coders is integral to ensuring quality and regulatory compliance for hospitals and medical practices. Plus, industry best practices suggest that outside reviews will strengthen your future internal audits.
But how often should you do it? How do you ease your coder’s fears? First, coders and auditors must let go of any perfectionist ideas and accept that nobody has all the answers. Second, get everyone into a growth mindset– ready to look at every opportunity as a way to increase resilience and learn. Third, Audit big, Audit often. Then sleep soundly knowing that coding accuracy will improve and revenue will be safe. The Office of Inspector General (OIG) and Centers for Medicare and Medicaid Services (CMS) recommends that all physicians and non-physician providers review their coding by an outside independent party who has the appropriate expertise in that clinical specialty. The question isn’t why audit your coders. But instead, how many dates of service to review and how often.
To learn more helpful tips on how to audit your coders, including best practices, and how to make it enjoyable, download my free eBrief, "Who’s Auditing Your Coders?" In this eBrief you’ll find:
- Two Vital Tips For An Effective External Audit
- Why A Growth Mindset Changes Everything
- Best Practices That Demand You Audit Big (And Often)