Correct Coding Is In Reach

1. When seeking a trusted certified coder, what should you look for?

Auditors certified by the American Academy of Professional Coders, American Health Information Management Association & the Health Care Compliance Association.

A certified coder with an unbiased opinion to ensure your coding is accurate and complete.

All of the above.

2. How easily can your staff access tools, documentation and current training to help them accurately enter billing codes?

Piece of cake. Our training is always updated and everyone can easily access it.

We have all of these materials, but they’re scattered.

I know where these materials are, but no one else does.

The truth: our materials are dated. Someday we will find the time to make updates.

3. According to a 2010 report about Medicare, on average, what percentage of Medicare claims for Evaluation & Management services are incorrectly coded*?

10%

23%

38%

42%

* Department of Health and Human Services Office of Inspector General (OIG). “Improper Payments for Evaluation & Management Services Cost Medicare Billions in 2010.” May 2014 http://oig.hhs.gov/oei/reports/oei-04-10-00181.pdf

Explanation

* Department of Health and Human Services Office of Inspector General (OIG). “Improper Payments for Evaluation & Management Services Cost Medicare Billions in 2010.” May 2014 http://oig.hhs.gov/oei/reports/oei-04-10-00181.pdf

4. When was the last time a certified coder reviewed your provider charts for coding inaccuracies?

Within the past 6 months.

Between 6 and 12 months ago.

More than a year ago.

We have never had a certified coder review our charts.

5. What is your process to ensure all claims submitted to Medicare, Medicaid and private payors are complete and accurate?

We don’t have a process.

We conduct internal E&M medical chart reviews.

We rely on our staff to bill correctly.

We enlist a certified coder to provide an E&M medical chart review.