Evaluating Compliance Strategies - Term Paper.
This article emphasizes the importance of monitoring and auditing medical record documentation and coding application as a strategy for achieving compliance and reducing billing errors. When medical bills are submitted with missing and incorrect information, they may result in unpaid claims and loss of revenue to physicians.
Coding Compliance Program. Corporate compliance programs are seen as an effective mechanism to assure compliance with regulations and minimize risk of fraud. A coding compliance program should be a key component of any corporate program -- complementing, not conflicting with, the corporate compliance program.
If the preceding coding process for Medical Coding is carried out appropriately according to the compliance guidelines, this will ensure data excellence. Finally, while Medical Coding maintains specific guidelines to ensure effective results in the healthcare industry, many people are pursuing this type of work to take advantage of the flexible productive benefits.
HCR 220 Week 2 CheckPoint Medical Records Documentation and Billing Assignment: Steps in the Medical Billing Process Resource: Figure 1.6 on p. 17 of Medical Insurance.
Medical Coding as defined by the American Association of Professional Coders is: Medical coding is a key step in the medical billing process. Every time a patient receives professional health care in a physician’s office, hospital outpatient facility or ambulatory surgical center (ASC), the provider must code and create a claim to be paid, whether by a commercial payer, the patient or CMS.
Billing, Marketing, and Reimbursement Analyze the collection of data by patient access personnel and its importance to the billing and collection process. Be sure to address the importance of exceptional customer service.
Fraud and Abuse Prevention Strategies. Make sure that all coding staff have been properly trained and receive ongoing continuing education. Develop comprehensive internal policies and procedures for coding and billing and make sure these written procedures are kept up-to-date.