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Medical coding quality is an extremely vital part in RCM to guarantee clear claims and better repayment. Here are the 3 secret approaches to improve medical coding quality.
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www.capminds.com 3 SECRET WAYS TO IMPROVE MEDICAL CODING QUALITY
Introduction • Medical coding quality is a very crucial part of revenue cycle management to ensure clear claims and better reimbursement. • So, when done inadequately, it may impact each part of the revenue cycle.
1. Make the Right Use Of Advanced Technologies • The usage of electronic health records has revolutionized the medical coding. • Though the EHR system is considered to be the most important key to success in the medical billing process, there are also some other technologies to improve the quality and accuracy of medical coding.
Computer Assisted Coding System (CACS) • A computer-assisted coding system (CACS) is software that analyzes healthcare documents and produces appropriate medical codes for specific terms within the document for clinical documentation.
The benefits of CAC • Improves coding accuracy and efficiency • Greater coder satisfaction • Eliminates unnecessary paperwork • Identification of clinical documentation gaps • Faster medical billing • Increased coder productivity • Improved revenue due to more detailed bills
2.Why Accurate Coding Is Important? • Determination of medical necessity and severity of illness • Obtainment of reimbursement • Measurement of quality outcomes • Value-based payment • Regulatory compliance risk management • Use Audits To Improve Medical Coding Quality
2.Why Accurate Coding Is Important? (Cont.) • The quality coding audit still stays as an essential component for a comprehensive medical coding improvement. According to the 2017 change healthcare study, over $262 billion in claims are initially denied every year largely due to insufficient clinical information.
3.Offer Education And Training Programs • Coding quality audits can uncover key ways to improve medical coding quality. • But without a robust education and training program in place, audit findings are nothing more than that. • Creating a learning environment enhances coder performance and keeps them engaged. • Providers should communicate audit findings and any changes in coding compliance with coders as soon as possible.
Conclusion • Ensuring high-quality medical coding is important for capturing revenue. • So everything you need to do is to ensure credentials, audit quality, and educate. • CapMinds offers the best medical billing and Coding services to drive increased revenue and better quality of care.
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CapMinds FHIR Services Contact us CapMinds Technologies 42240 Mason Ridge Ct, Brambleton, VA 20148 +1 571.213.3245 info@capminds.com https://www.capminds.com