Where is the coding world headed in the next few years and how will Edelberg be there to help?
o An increase in governmental and private payer audits
o Payers denying or downcoding records due to lack of medical necessity;
o Payers that develop their own rules for Evaluation and Management Level coding for professional or technical coding.
EA has the ability to provide hospitals and physician groups with:
o Audits of coding for most specialties to determine if there are compliance or revenue issues;
o Documentation education for physicians;
o Education for coders;
o A consult that is designed for a specific hospital or group to 1) determine if compliance or revenue issues exist; and 2) a plan to correct issues that exist in coding, documentation
-Missy Stimler CPC, CHC, BSN, RN
Vice President of Compliance and Regulatory Issues