How to Improve Coding Quality to Prevent Denials, Reduce Payer Takebacks, and Improve Cash Flow
MedCity News December 1, 2023
Practices should take a fresh look at their coding quality, which can help reduce denials, payer takebacks, and cash flow issues. Implementing intensive coding training, CAC technology, and internal audit and review programs can help. However, for practices that lack the resources to make such investments, outsourcing may be a better approach.
Quality coding is essential for a healthy revenue stream. Superior coding can reduce denials, improve cash flow, facilitate faster and more accurate reimbursement, and decrease “takebacks” and penalties. It is estimated that 42% of denials are caused by coding issues. With payers denying more claims than ever—more than one in ten in 2022—practices cannot afford to ignore coding issues.
Top coding issues
According to the American Medical Association,...