By Susan Gatehouse, RHIT, CCS, CPC, AHIMA-Approved ICD-10-CM/PCS Trainer
Waivers, modifiers, lab tests, multiple diagnosis codes…the layers and specifics of COVID-19 coding cannot be overlooked when ensuring appropriate reimbursement and safeguarding claims against third-party payer audits.
As hospitals and healthcare organizations begin to assess the required steps necessary to prepare for the transition back to a pre-COVID-19 operating environment, apart from timelines and state and local guidelines, much still needs to be examined to establish stability.
With the expansive flexibility provided in the Families First Coronavirus Response Act (FFCRA) and the associated complexities in coding and billing, the opportunity for inaccurate reporting of services related to COVID-19 lends itself to erroneous reimbursement, while placing an organization at risk for a potential of perceived fraudulent billing.
In an article published by ICD-10 Monitor-News, Axea's CEO, Susan Gatehouse, unravels the layers of intricacies that could get in the way of proper COVID-19 reimbursement and cause compliance challenges for healthcare organizations.
You can read the article in its entirety HERE.
Well versed in the complexities around COVID-19 related guidelines, Axea advisors provide a proactive evaluation to automate revisions that would otherwise go unnoticed and cause a denial.
To find out more about developing strategies to ensure appropriate compensation and to safeguard claims against third-party payer audits, request a complimentary consult from an Axea expert-advisor today.