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Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

Providers are trained to document from a clinical care standpoint. Coders are trained to document based on coding guidelines, governmental, or insurance standards. When additional procedures are performed during a face-to-face visit, providers often lack documentation to support the procedure code,” said Birg.

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Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

Providers are trained to document from a clinical care standpoint. Coders are trained to document based on coding guidelines, governmental, or insurance standards. When additional procedures are performed during a face-to-face visit, providers often lack documentation to support the procedure code,” said Birg.

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The 11 Best Patient Engagement Tools to Improve Your Practice 

Medical Advantage

Explanation of Benefits (EOB): Understanding an EOB can be complex due to medical codes and insurance jargon. Healthcare providers can help by educating patients on how to interpret these documents so that patients are fully aware of their financial responsibilities and can make better informed healthcare planning decisions.