Describe what you feel a day may be like once you become a coder
· What do you think will be most challenging?
· Summarize why it is essential to collaborate with clinical staff (MDs/APRNs) to resolve coding questions/discrepancies
· Provide an example of a time when it may be necessary to query a physician.
Even a small mistake by a medical coder can lead to claim denials and payment delays. There are various challenges faced by this area.
A failure to provide information to the payers inorder to support claims results in delays.
Upcoding is another one occurs when patients are billed for more complicated procedures than they actually received are submitted for services that are not performed.
Telemedicine coding errors that take place when incorrect use of modifiers result in payment delays.
Incorrect procedure codes and information are the another issue that a coder make errors.
Manual medical billing, and neglecting to inform consumers about patient financial responsibility are key challanges to run the coding smoothly.
2) It is essential to collaborate with other clinical staffs inthe hospital to resolve coding questions.
Hospital patients may receive a number of various treatment from different doctors. A critical thinking of this can be achieved by the collaboration with APRNs who is with the patient and have a good knowledge about all treatment and diagnosis that the patient have received. By help of them the coders research to track down obscure medical codes.
For the clinical documentation and diagnosis results data formation required to be made by solving the questions along with nurses.
3) A medical coder sends a question to the physician’s office staffs which then printed and get to physicians. Doctors are queried to see the codes on the claim match the documentation statement in the medical records. They can be questioned for incomplete or incorrect information that has to be coded because this my costs the doctor’s thousands of dollars each year in lost payments. Physicians and the hospitals depend upon the coders to receive proper reimbursement.
Describe what you feel a day may be like once you become a coder · What do...
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