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Why Can't He Eat or Drink After Midnight? - March 2016 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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4 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M A R C H 2 0 1 6 O ne of 3 things will happen when you submit a claim: It may be paid correctly, partially paid and, of course, it may be denied altogether. It's the seemingly little things that can trip you up. Around one-third of claims are denied due to minor errors in coding, registration or billing. And it costs an average of $25 to rework a denied claim. Here are 6 strategies to get more of your claims paid correctly the first time. Code it right the first time The most obvious way to keep denied claims below the MGMA benchmark of 4% is to send out a clean claim on the first attempt. Easier said than done, right? This requires having properly trained coders in the right positions. Coding is comprehensive and layered, so 1 6 Strategies to Get Your Claims Paid Correctly Don't let minor errors in coding, registration or billing trip you up. Coding & Billing Chris Klitgaard, MHS, MBA, and Kimberly Vegter, CPC, CPC-I • BETTER INTAKE Make sure staff handling pre-op paperwork is trained to avoid mistakes that could hurt your revenue cycle down the line.

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