Secondary diagnosis reporting is essential to you receiving the reimbursement you deserve. Under report or provide a lack of medical necessity and you’re leaving your revenue on the table uncollected. Over report and you could end up paying massive fines and penalties for overcoding. This is true regardless of your specialty or practice size.
Diagnosis overcoding, even if it’s by mistake, can get your claims targeted for an audit. And once auditors start digging around, they can go back years and apply mistakes across all of your claims to calculate a significant financial penalty – not to mention the stress and hassle of being audited.
There is something that can help you improve the accuracy of your secondary diagnosis coding, reduce the number of denied claims you receive for inadequate Medicare necessity, and improve your overall reimbursement. Diagnosis coding expert, Gloryanne Bryant, RHIA, CDIP, CCS, CCDS, AHIMA Approved ICD-10-CM/PCS presented an online training session designed to help you improve your secondary diagnosis coding.
During this 60-minute online training, Gloryanne will cut through the confusion of coding for secondary diagnoses. Here are just a few of the practical tactics you’ll receive:
- More accurately apply ICD-10-CM comorbid condition codes and reduce denials
- Improve medical necessity reimbursement justification with more accurate code selection
- Know when to utilize payer guidelines vs Official Guidelines for Coding and Reporting to improve payup
- Determine the correct secondary diagnosis when there are multiple diagnoses listed
- Get EMR systems to help your providers to choose the most correct code
- Understand how obesity and anemia can get your claim paid
- Overcome payer rejections more easily for Reason for Visit (RSV) denials
- Cut negative audit findings by mastering secondary diagnosis coding best practices
- Apply LCDs correctly to avoid bundling and unbundling claims
- And so much more…
Even for seasoned coders, getting secondary diagnoses correct is tricky. There are a million variations and rules as to which diagnosis codes can be submitted together, which procedure codes are allowed, payer and official coding guidelines you have to consider, tracking bundling and unbundling guidelines, and all that is just the beginning.
With the help of this expert-led online training, you can get the tools you need to more easily and accurately select secondary diagnosis codes that get you paid more of what you deserve. Don’t wait, order this online training today.
Gloryanne has been an HIM professional and Leader for over 35 years. In her past roles she’s been National Director of Coding Quality, Education, Systems and Support for a national healthcare system, was responsible for the coding quality, accuracy and integrity, monitoring programs, education, coding related systems and advisory for Clinical Documentation Improvement (CDI). She was also the key national leader for ICD-10 Coding Education and Training across 8 regions. She was also Corporate Senior Director of Coding HIM Compliance for Catholic Healthcare West (CHW) Dignity Healthcare for more than eight years.
Gloryanne was appointed to the HHS CMS (Centers for Medicare and Medicaid Services) APC Advisory Panel to work on OPPS policy, coding, and reimbursement issues where she served for 4 years. She was also appointed to the RAND Expert Panel on Severity DRGs. She co-authored the publication, “HIM Director’s Guide to ICD-10” and wrote the “ICD-10 Coding & Physician Language” handbook, the third revision.
Gloryanne has conducted numerous ICD-9-CM, ICD-10 and CPT coding, DRGs, MS-DRG, APR-DRGs, APC (OPPS), leadership and compliance workshops for hospital and physician-based coding staff, Coding and HIM Leaders, and others. In addition, she has conducted an array of presentations on data quality, medical necessity, compliance and clinical documentation improvement to health care management executives and administrators.
Gloryanne was very knowledgeable. She pointed out important secondary diagnosis coding information, and consistently added more to review from the coding guidelines.
There was alot of useful information!
This was very well laid out
Presented very well. I appreciate that Gloryanne didn't just read from the slides.