Outpatient Surgery Magazine

Heavy Duty - October 2016 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Are You Leaving Money on the Table? Conduct an in-house claims audit to find out. A re you leaving money on the table? One of the best ways to find out is to conduct regular internal billing audits. Among other things, an audit checks that you're appropriately sub- mitting your coded claims per payer, state and local guidelines. They help catch minor reimbursement issues before they become big prob- lems. They also help identify any weak spots in your coding and billing practices that can trigger denials. Here are a few tips to make sure your next internal billing audit goes smoothly. Set a goal If you don't have an in-house auditing policy in place, start there. Your policy should advise your staff how they can assess coding quali- ty performance with a consistent audit method. Typically, we recom- mend that these audits be held annually, though you may want to per- form them more frequently if you notice a problem with your revenue cycle. As part of the process, you also want to set a goal for the audit. 1 4 4 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • O C T O B E R 2 0 1 6 Coding & Billing Prerna Gupta • CLOSER LOOK Conducting annual in-house audits is the best way to stay on top of claims denial trends.

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