Question

What are some ways to avoid missing/invalid code denials on submitted claims?

I. QA coding staff
II. Code the same way all the time
III. Offer education to coding staff
IV. Use current year coding books
a.I, II, III
b.I, IV
c.I, III, IV
d.I, III

Answer 1

To reduce the risk of missing or invalid code denials on claims, healthcare facilities should perform quality assurance, provide education for coding staff, and utilize current year coding books. Coding the same way all the time is not a recommended practice.

Step-by-step explanation:

To avoid missing or invalid code denials on submitted claims, there are several strategies that healthcare facilities and coding professionals can employ:

• Quality Assurance (QA) of coding staff: Implementing regular checks and reviews of the coding process ensures that codes are applied correctly.
• Education for coding staff: Offering ongoing training ensures that coders are up-to-date with the latest coding conventions and changes.
• Use current year coding books: Coding standards and guidelines update periodically. Using the most recent coding books minimizes the risk of using outdated or incorrect codes.

Coding the same way all the time is not advisable as this doesn't consider changes to coding standards or individual case details. Therefore, the best options to help avoid these denials are QA of coding staff, education for coding staff, and using current year coding books. The correct answer would be c. I, III, IV.