You are currently experiencing some of the most significant and painful changes to how you collect patient service data with the implementation of ICD-10, the increasing focus on cost and quality, and the dependence on providers to effectively use electronic health records (EHR) all happening at once. You are no longer coding simply for insurance claims payment purposes. Codes are now used for severity adjustment, quality of care assessment, case mix management, public health surveillance, patient safety evaluation, and even marketing efforts. As a result, health care organizations that focus on capturing the most specific and accurately coded data for each patient encounter are collecting powerful information about their patients’ status and condition over time. Certainly, this is important for providing the best care to their patients, but it’s also key to ensuring their practices remain profitable as the Affordable Care Act continues to unwind.
This feature article pertains to charge capture and coding tips that are designed to ensure that your coded information truly reflects the services you are providing. You can perform a quick checkup for your organization by ensuring the answer to each of the eight items is “yes.”
Length: 2 pages (PDF 94 kB)