Coding a Commodity?
With the implementation of ICD-10 just two months away, most hospitals are contracting with firms to perform coding audits and provide supplemental coding support. Many hospitals look at the price of these coding-related services and assume a certain level of quality exists regardless of the cost. However, the old adage, “you get what you pay for” really is true when it comes to these services. Coding has significant financial, compliance and quality metric related implications for a hospital.
What may look like an acceptable coding audit and/or supplemental coding support service could come back to haunt you in the form of CMS and third party payer denials, increased payer audit exposure and misleading quality measures.
Health Information Associates (HIA), the preferred partner of SCHA Solutions, invests significant dollars in its formal continuing education and quality control programs. These programs ensure its staff of Review Consultants and Coding Specialists are the best trained in the industry. Additionally, HIA has spent the last 23 years honing its audit reporting capabilities and operational processes to make certain the information provided back to the hospital is accurate, comprehensive and educational in nature. While HIA’s services may be priced above some other firms, the cost difference is more than justified.
If you have or are considering partnering with a service provider that has made coding a commodity, do not be surprised or caught off guard by the negative impacts that may follow down the road.
- 08-03-2015 12:17 (EDT)