HIM educators can trend and review audit results that reveal common coding errors, as well as focus on error trends in principal diagnosis selection.
In many cases it is possible that an alternate principal diagnosis will be chosen by the auditor based on clinical findings within the medical record of which the coding specialist may not be aware.
Clinical documentation improvement programs have gone a long way to reduce physician queries by collaborating with physicians up front for accurate and complete documentation.
Finally, productivity can be increased by eliminating the rework of denials through clean claims on the front end.
Include high risk post-payment target areas that have become pre-payment targets for the RAC and Medicare Administrative Contractor (MAC).