Business processes (staff time):
• Review and update prior authorization, referral process, utilization management
• Review and implement payer-specific medical policy
• Review and update payer contracts for diagnosis based reimbursement
• Review and update payer contracts for quality and/or performance-based reimbursement
• Review and update provider productivity measurement process
• Review and update paper superbills and other paper forms
• Review and update compliance processes
Clinical processes:
• Review provider documentation query process
• Review and make necessary updates to clinical documentation
• Purchase and implement computer-assisted coding
More Articles on Coding and Billing:
10 Statistics on Medical Coder Salary, Benefits
AMIA: ICD-10 Transition to Be Convoluted
Taking a Custom Approach: Best Practices for Effective ICD-10 Staff Training
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.