Physician Coding with Integrity
Medical billing coding and reimbursement is an important part of the revenue generation cycle, yet there are a lot of gray areas that create confusion, uncertainty, and improper level code choices. Hospitalist coding requires a greater level of understanding and information than is typically available for hospital physicians, which is why Claimocity integrates a smart software coding optimizer that utilizes big data processing and artificial intelligence to analyze the diagnosis code, any patterns available, and the context around the claim in order to generate physician coding insights and charge capture options that maximize physician coding integrity.
Physician coding integrity refers to that ideal middle area that creates the best claim value outcome, the highest clean claim chances, and avoid the dual risks of income loss from “playing it safe” under coding and the financial audit risks that come from consistent over coding.
Improving Medical Billing Coding and Reimbursement
Improving a physician’s medical billing coding directly correlates to improvements in reimbursement numbers. Claimocity starts by catching clear mistakes and issues such as marking an initial visit as a follow-up, thereby missing out on the increased initial claim value. The artificial intelligence makes short work of such mistakes, identifying them immediately and suggested easy fixes with clear value.
Following up on the revenue increases that come from the low hanging fruit code improvements, Claimocity helps Hospitalists create billing patterns that generate long term rising revenue gains while providing protection against any future audits by maintaining coding within clearly acceptable ranges according to industry averages on both state and national levels.
Maximizing the Coding and Billing for Hospitalist Services
Medical coding with regards to hospital patients is challenging on several levels as they tend to have complex billing parameters and conditional coding requirements that fall into two or three primary categories depending on the specialty: initial, follow-up, and discharge.
Hospitalist coding with accuracy requires both a strong knowledge of the billing process and an understanding of how to use the proper CPT codes to report the level of hospital care in line with the visit.
The perfect medium allows the hospitalist to report the right choice of coding options in a way that minimizes billing time consumption, maximizes payoff, and minimizes long term audit risk (while maximizing protection if an audit were to occur).