Diagnosis Coding: The Cost of One and Done

Melody W. Mulaik, MSHS, FAHRA, CRA, RCC, RCC-IR, CPC, CPC-H is the President of Revenue Cycle Coding Strategies LLC and our presenter. The documentation of detailed clinical information should result in the assignment of accurate and hopefully reimbursable diagnosis codes. As practices look to streamline documentation and coding processes it is critical to practice continual quality improvement. The goal should always be to minimize additional work for providers while ensuring that the patients’ needs are being addressed clinically and financially. This session focuses on key areas of concern to balance compliance with operational efficiency. Understanding how diagnosis codes are utilized by insurance payers and other industry stakeholders is vital to ensuring that your organization receives appropriate recognition and credit for quality care.

1. Identify when there are enough codes to release a charge.
2. Explain the impact of diagnosis coding on the future of quality-based payment models.
3. Discuss ways to communicate the necessity of clinical data to physicians and other clinical staff generating the medical record.