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Exceptional Coders | Innovative Technology

OIG Sample Finds that More than 60% of Therapy Claims Don’t Meet Medicare Requirements

Posted by David Fong on Jun 8, 2018 6:00:00 AM

A recent article in Skilled Nursing News reported that more than 60% of outpatient therapy claims filed over a six-month period didn’t meet Medicare’s requirements — a figure that has a key government watchdog agency concerned.

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Topics: Medical Coding, Outsourcing, Coding Denial Management

Don’t Lose Potential Revenue Due to Staffing Errors

Posted by David Fong on May 24, 2018 6:00:00 AM

A recent article in the Chicago Tribune reported that the Cook County Health and Hospitals System lost an estimated $165 million or more in potential revenue over the past three years due to lax clerical procedures and employee errors.


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Topics: Medical Coding, Outsourcing, Coding Denial Management

The Rising Costs of Healthcare Billing

Posted by David Fong on May 8, 2018 6:00:00 AM

A recent study reported in a Los Angeles Times article found that healthcare in the United States is very expensive. One of the contributing reasons is that managing healthcare bills is really expensive. How expensive? At one large academic medical center, the cost of collecting payments for a single primary care doctor is upward of $99,000 a year.


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Topics: Medical Coding, Clinical Documentation, Outsourcing, Coding Denial Management