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
