When it comes to evaluating your ASC’s billing processes and addressing its concerns, compliance is key. Incorrect coding can lead to increased claims denials, increased payroll costs, decreased reimbursement as well as legal action with potential penalties and fines.
It is no secret that payors have increased their scrutiny prior to paying claims. On average, denial rates are between 11 and 24 percent, in some cases, denials can reach up to 40 percent. It is due to this that correct coding is essential to optimally running your revenue cycle operations.
In this article, Jessica Edmiston, CPC, CASCC, AHIMA Approved ICD-10 Trainer, Vice President of Coding, and Lori Samii, Vice President of Marketing, discuss coding and the ramifications that incorrect coding can have on your surgery center’s bottom line. They also offer tips on how to address these issues, to ensure that your staff and your center succeed in today’s healthcare environment.
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This post was first published April 28, 2017 and was updated July 29, 2020.