Live Webinar | Patient Access
Save
Live Webinar | Finance and Business Strategy
Save
Live Webinar | Finance and Business Strategy
Save
Live Webinar | Finance and Business Strategy
Save
How To | Denials Management

3 abilities every coder should possess

How To | Denials Management

3 abilities every coder should possess

The onus is on coders to be prepared to deal with the challenges that impact reimbursement and to provide insight beyond that required for basic coding.

Coders need to understand billing expectations, how the billing process works and how the revenue cycle is affected. Many are learning on the job through payer websites, coding guidelines and queries to the American Hospital Association (AHA) Coding Clinic.

The three abilities every coder should possess to do the job are:

  • Respond to denials based on payer regulations and documentation that supports the services being denied.
  • Make adjustments in the coding and address issues to mitigate or overturn
    a denial.
  • Review patterns and identify issues to determine how to move from denial management to prevention.

See related article: Know your denials challenges before developing prevention strategies

Sign up for a free guest account and get access to five free articles every month.

Advertisements

Related Articles | Denials Management

Sponsored Content | Revenue Cycle

How to unleash the true value of your remote reps through effective workforce management

A data-driven management approach to revenue cycle that empowers your staff could effect sweeping change for improved long-term financial health.

Blog | Health Plan Payment and Reimbursement

Hospitals and Congress propose improvements to prior authorization processes in Medicare Advantage

The American Hospital Association says pending regulations that would affect prior authorization should be expanded to include Medicare Advantage.

News | Staff Development

HFMA’s new Premium Facilitated Learning courses combine self-directed study with facilitator feedback and time for peer problem solving

Learn more about HFMA’s Premium Facilitated Learning — a new line of courses — that combine self-directed study with expert facilitation in this Q&A with HFMA’s Sue Spear, director of Digital Learning and Todd Nelson, director of Partner Relationships.

News | Claims Adjudication

UnitedHealthcare reverses course on new approach to emergency department claims, but perhaps only temporarily

UHC had announced this week that it would evaluate claims starting July 1 to determine whether ED visits were for emergent or nonemergent events.