How Coders and CDISs Can Help Avoid Payer Edits and Denials

Payer edits and denials are pervasive in healthcare reimbursement.

These problems typically arise from coding inaccuracies, insufficient documentation, or non-compliance with payer-specific guidelines. These challenges can lead to revenue loss, increased administrative burden, and frustration among healthcare providers.

A skilled coding staff plays a vital role in mitigating these issues. Proactive identification of potential red flags at the time of coding can decrease the number of edits and denials being returned from the payer.

Join our special guest Lorie Mills, director of health information services for Primeau Consulting Group, during the next live edition of Talk Ten Tuesday, April 29, 10 Eastern for a refreshingly new approach to understanding how and what smart coding can do to avoid these expensive and frustrating issues.

Also part of the live broadcast will be these instantly recognizable panelists, who will report more news during their segments:

• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.

• CDI Report: Cheryl Ericson, Director of Clinical Documentation Integrity (CDI) for the vaunted Brundage Group, will have the latest CDI updates.

• The Coding Report: Substituting for Christine Geiger will be Amy Jo Combs, Senior Coding Compliance Consultant for First Class Solutions. She will discuss the significant difference between “History of” and “in remission” when reporting leukemia.

• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.

• MyTalk: Angela Comfort, veteran healthcare subject-matter expert, will co-host the long-running and popular weekly Internet broadcast. Comfort is the assistant vice president of revenue integrity for Montefiore Health.