Medical practices need to brace for coding challenges

Medical practices need to brace for coding challenges

Healthcare is a constantly evolving industry. Medical knowledge thankfully increases constantly. But the regulatory and financial structures offer less welcome evolution.

Nancy Gagliano, MD,  and Randy Jones, DHA, look at some of the more important healthcare challenges in 2017 and try to frame them as opportunities:

  • Documenting accurately: Allow software to help capture clinical details instead of relying on copy and paste shortcuts.
  • Growing denial rates: Healthcare payers have more than a year of ICD-10 data and may change medical necessity standards.
  • Preparing for change: Medical practices need to understand the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and the Merit-based Incentive Payment System (MIPS), and how to prepare for them.

These transitions require teamwork and training to keep medical practices running and providing quality care to patients.