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Let’s get uncomfortably honest.
With continued reimbursement cuts, like this year’s $9-12k per provider E/M cut, organizations cannot sustain 100% coding validation.
Now, let’s get brutally honest.
This is compounded by a lack of truly skilled and knowledgeable coders looking to fill the open jobs.
It’s time to find the best solution that solves both problems.
The solution is simple, but it will require teamwork and strategy. Eliminate 100% Coding Validation as a process in your organization and develop the skills of your current coding team into an audit team.
Eliminating coding validation does not eliminate the compliance or integrity of your documentation and coding, as this will occur through audit analysis. To get there, proficiency evaluations are required along with education and training of the physician, non-physician-qualified providers, and the coding team to better equip them with the skills needed to audit the services.
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