Your New Coding Department

Large private practices, hospital-based physician groups, academic faculty practices, integrated delivery systems, and multispecialty management service organizations all face a wide array of organizational, economic, and even multi-location geographic challenges. All the while, both the science and business of medicine continue to become more and more complex. The advances in the science are logarithmic. Laws and regulations are constantly changing. (In 2010 there are 24,060 new active pairs and 19,083 terminated pairs in the revised NCII 16.0 data set.) Payers merge and contracts evolve. Staff come-and-go. Practices grow and contract. Hospitals, group practices, medical schools, Departments, Divisions, research institutes, and practice plans create complex organizational matrices that are reconfigured periodically. Every dimension of the care delivery and revenue cycle must be managed by skilled administrators within fast-paced and dynamic internal-and-macro environments.

Coding must be consistently accurate for all providers across all locations and for all specialties.

Unfortunately, personnel management headaches, recruitment-and-training hassles, performance accuracy and consistency problems, subspecialty knowledge issues, coder turnover, etc. all become a “treadmill” absorbing endless management resources. The practitioners can end-up with suboptimal results revolving around an individual rather than an institutionalized solution. The Coding Network’s core competency is accurate coding. Our entire corporate management and every one of our subspecialty coders serves as each of The Coding Network’s clients’ own personal Coding Department. The Coding Network relieves you of the perpetual management problems that divert you from your institutions’ mission and core competencies. We can become the infrastructure to your organization’s Coding Department and/or Compliance Office.

What does this mean? What do you get by having The Coding Network become your new Coding Department?

  • Guaranteed coding accuracy.
  • Ongoing Quality Assurance Program.
  • Improved medical records with our documentation deficiency feedback “loop.”
  • Continuing Education.
  • Access to expert coding resources.
  • Increased control by both the physicians and administration.
  • Improved communication with the physicians and mid-level providers.
  • Turns fixed overhead expenses into much preferred variable expenses.
  • Potential cost reduction.
  • Continuity; many of The Coding Networks’ coders have been with us for 14+ years.
  • Compliance; never has a client of The Coding Network ever had to pay a penny in fines or recoupments for any service we’ve coded.
  • Flexibility to add new provider specialties.
  • Flexibility to add new provider locations.
  • Bring specialty-specific knowledge to your staff on an “as needed-when needed” basis with no minimums. You are in total control at all times.
  • Reduces the joy and frequency of Human Resources and staff management headaches.

Latest Blog Posts:

  • 5bcaa7d7ba528.image

Medicare fraud by All Saints Anesthesiologists

October 23rd, 2018|Comments Off on Medicare fraud by All Saints Anesthesiologists

From 2011 to somewhere around 2014, Ascension All Saints Hospital’s contracted anesthesiology aggregate efficiently overbilled Medicare and Medicaid for many dollars, as indicated by a government claim. It was brought by an informant who trusts […]

Update: CMS’s Proposed Changes to the Physician Fee Schedule for 2019

October 17th, 2018|Comments Off on Update: CMS’s Proposed Changes to the Physician Fee Schedule for 2019

Following up on our September 4th, 2018 post “MGMA Opposes Proposal to Consolidate E/M Codes”, The Coding Network has been actively tracking the status of the sweeping changes to the Physician Fee Schedule for 2019 proposed […]

  • Ariana-Fajardo-Orshan-Article-201806072035

Stuart Doctor Charged in Twenty-Six Count Federal Health Care Fraud Indictment

October 16th, 2018|Comments Off on Stuart Doctor Charged in Twenty-Six Count Federal Health Care Fraud Indictment

A specialist has been accused of submitting social insurance misrepresentation out of her training in Stuart, Florida. The U.S. Lawyer for the Southern District of Florida, Shimon R. Richmond, Special Agent in Charge, U.S. Division […]

  • Audit-stamp

Medicaid and Medicare Telehealth Payments Fails to Meet Medicare Requirements

October 12th, 2018|Comments Off on Medicaid and Medicare Telehealth Payments Fails to Meet Medicare Requirements

OIG reviewed 191,118 Medicare paid distant-site telehealth claims, totaling $13.8 million, that did not have corresponding originating-site claims. The watchdog agency then reviewed provider supporting documentation to determine whether the services met Medicare’s requirements for […]