Presented by: Kenneth Voll, RHIT
Summary: Coding denials represent claims errors that occur related to the clinical visit. Like all denials, they must be diagnosed, fixed, and resubmitted to the payor timely to avoid potential lost revenue. Health information professionals are well qualified to work these denials by utilizing their expertise and knowledge around coding of the clinical service.
In this presentation, Ken Voll, RHIT, guides you through common coding errors related to coding and the best way to address them in a standardized methodology. Other topics in this brief 12-minute session include a denial review method to assist in creating your own denials process, and high-level mitigation ideas to guide you in preventing future denials.
Resources:
X12 External Code Lists: https://x12.org/codes
Medicare National Correct Coding Initiative (NCCI) Edits: https://www.cms.gov/medicare/coding-billing/ncci-medicare#:~:text=The%20purpose%20of%20the%20NCCI,edits%20for%20outpatient%20hospital%20services.
AHIMA Denials Management Toolkit: https://bok.ahima.org/topics/coding-compliance-and-revenue-cycle/denials-management-toolkit/
