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Failing to Compare Providers Coding against a National Benchmark.
The 9th common mistake that can impact reimbursement can occur when your provider does not know where he/she falls on a National E/M Benchmark Bell Curve.
Lack of ongoing education for all of your Providers and Staff
The 10th common mistake that will often affect revenue is an ongoing lack of education for all of your Providers and Staff. They should each receive focused instruction as a direct result of ongoing and consistent chart reviews.
Not conducting chart reviews on a regular and consistent basis
The 8th common mistake in managing cash flow is due to the lack of chart reviews / audits.
Not automatically updating your Fee Ticket/Superbill annually
The 7th common mistake occurs as a result of your Fee Tickets / Superbills not being updated on a regular basis.
Choosing and then utilizing the wrong Evaluation and Management guidelines for your ED
The 6th common mistake for revenue capture is relying solely on your EMR to capture the appropriate E/M Level.
Failing to document the length of time used for your time based services
Are you capturing your time based procedure / service codes?
Overlooking to regularly review and update all of your documentation templates
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The 4th common mistake occurs when your documentation templates are no longer capturing all services appropriately.
Failing to consistently educate all members of your ED staff regarding your Point System
A 3rd common mistake is the inconsistent interpretation of the point system by the staff. Once the point system is developed, it is imperative for all staff members to accurately and consistently interpret not only how the point system is being used, but also how it was intended to be used.
Failing to evaluate and adjust your Point System on a systematic basis
The 2nd most common mistake is that the Facility Point System is not regularly evaluated to capture all services. A Point System would be a consistent methodology for assigning an ED Facility Level based on the work performed by the ED staff. An interesting fact is, that to this date, there are no national standards for assignment of hospital Facility Levels.
E/M level billed by Physician the same as Facility
The #1 Most Common Mistake occurs when your staff believes that the Evaluation and Management [E/M] level billed by the ED Physician must be the same level as that billed by the hospital for the ED Facility.
BDA helps healthcare professionals increase their revenue capture by improving the accuracy of their clinical documentation, coding, billing, and reimbursement.
BDA will conduct one-on-one and group sessions with your providers and support staff where we will emphasize the necessity of appropriate documentation needed to support Evaluation and Management (E/M) Services Coding, and overall medical coding. A variety of training tools are utilized for easy future reference.
Our Process
BDA helps healthcare professionals increase their revenue capture by improving the accuracy of their clinical documentation, coding, billing, and reimbursement.
Related
- 10 Common Mistakes Managing Emergency Department Reimbursement and Cash Flow
- Facility Coding- How Effective is Your Point System?
- Failing to evaluate and adjust your Point System on a systematic basis
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BDA provides its services to clients of varying medical specialties located throughout the United States. By comparing your revenue capture performance against the norm in your specialty, it can offer additional tools for improvement.
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