You know what’s at stake: national and international impact. Submitting the most appropriate procedure codes could not only boost your payments, but also fuel health awareness on local, state, and federal levels, and for the healthcare community abroad. The data you code and send to insurance payers could then give way to advances that inform you of the best medical and technological practices to enhance your bottom line.
This is the way the revenue cycle keeps giving back. So, elevate it and do what you must to bill the best healthcare identifiers from out of over 100,000 codes. Perfect your billing and coding processes, become part of the “conversation” in disease and prevention, and secure your space in the healthcare industry, embracing the influence of outside organizations to maximize your revenue.
Basically, you are in a serious dialogue with the major controllers of the healthcare market, like the Centers for Disease Control and Prevention (CDC), the Centers for Medicare and Medicaid Systems (CMS), and the American Medical Association (AMA).
Your claims, and the procedure and diagnosis codes they list, stand as the documentation these healthcare organizations, and other administrators, use to determine benefits, coverage, and payment systems among other aspects vital to your business’ financial health.
The CDC, CMS, and AMA, among others, oversee the creation, maintenance, and publishing of the following code types: Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases (ICD). CPT, HCPCS, and ICD codes drive transparency of and reimbursement for minor medical issues to major illnesses, inpatient, and outpatient, including the equipment, drugs, devices, supplies and services that facilitate treatment. Together, these identifiers demonstrate how the interchange of electronic data among healthcare entities mobilize health and financial aid for all healthcare stakeholders.
The point is coding demands a joint effort between stakeholders. You stand as a stakeholder, as do your patients and other healthcare businesses that desire the benefits of efficient Revenue Cycle Management. Thus, financial aid for you looks like partnering with another stakeholder to ensure that your goals to make a profit do not negatively impact your mission to produce valuable and quality healthcare. In other words, you should not have to skimp on your medical services to perfect your billing and coding processes. Go in the way of the healthcare industry and establish standards and a system that prevent waste.
In the same way, the Health Insurance Portability and Accountability Act of 1996 (HIPAA), institutes safeguards for efficiency and effectiveness in electronic data interchange (EDI) transactions, you should also strive for that same level of productivity. Achieving compliance with your billing and coding could mean relying on resources outside of your organization as you already do now for other aspects of your frontend process.
So, connect with a HIPPA covered service provider that has garnered International Organization for Standardization (ISO) certifications in quality management systems, information security management, and privacy information management systems. Even more, outsource your billing and coding woes to a company that provides Revenue Cycle Management Solutions and access to better cashflow.
Reputable end-to-end Revenue Cycle Management (RCM) providers make a way for your medical billing success. All you have to do is commit to their streamlined process. Connect and work with their billing teams to establish your business profile or background history, informing them of your techniques and methodology. Once your external billing team understands your business type and have assessed the test panels and samples that you’ll provide, then they can begin to automate the coding procedures.
This efficiency, however, won’t stop your billing support from conducting weekly checks for procedure and diagnosis code updates. They will not put an end to quarterly code reviews and audits. They will, however, keep draining their coding tools and resources to select the most accurate and cost-effective code(s) to enable the best reimbursement for you organization.
HealthRecon Connect, a HIPAA compliant, ISO Certified RCM company, has won back 30% to 50% or more in revenue for healthcare businesses just by choosing better codes. Because their teams masterfully bill and code procedures and diseases, hospitals, labs, imagining centers, and physicians grow to serve another day. In fact, HealthRecon supplies the following scalable billing and coding services driven by certified coders: an outcome-based pricing model, 2-4 day turn around, guaranteed >90% DRG Accuracy, paper and EMR based options, dedicated account management, custom reporting, coding, and documentation audits, in addition to Provider feedback and training.
Through these customizable options, you could take one giant step forward in overcoming the costs of quality care, labor, and materials. According to HealthRecon, their business, “…was formed with the Healthcare Provider in mind, to offer solutions for challenges in driving quality patient outcomes while managing ongoing increases in cost, declining revenue, increasing complexity in regulatory and compliance frameworks, administrative and HR challenges and declining patient interaction.” So, if you are ready to have global impact, connect with HealthRecon today.
Deriise Dowell is an Atlanta based healthcare IT copywriter and advocate of efficient billing services, having served, empathetically, as an Enrollment Specialist and Technical Analyst for 11 years.
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