Keep Coders Coding!

  It’s 6:30 in the morning – you beat the morning rush to work and even grabbed an excellent parking spot before the shift change. Now it’s time to unleash your incredible coding prowess in the system, while enjoying a piping hot cup of coffee! You check your email and see that Management wants you […]

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To Simple Visit Code, or Not?

Do you ever wonder how you could decrease your coders’ workloads? Have you heard other organizations talk about simple visit coding accounts? Or do you simply wish there was a way to automatically code basic visits? At The Wilshire Group, we have HIM consultants with years worth of experience implementing simple visit coding (SVC). Consideration […]

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The (Never-Ending) Battle on Denials

Denials have always been an uphill battle. As soon as you think you have a handle on one facet of it, the payer throws another unexpected change at your organization. Regardless of how strong your reporting, staff, and approach is with denials, they aren’t 100 percent avoidable. I came across a great article, “Staying One Step […]

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Revenue Integrity 101

“Revenue Integrity” within a healthcare system means many different things depending on who you ask, the size of the institution, and if the OIG (Office of Inspector General) has paid a visit or not. I believe Revenue Integrity (RI) is a culture that lives within an organization and is part of each component of the […]

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Code Integration

Most organizations produce 1,000s of claims a day with hopes they’re compliant and will ensure proper reimbursement. Within those UBs/837Is are claim lines, which are primarily comprised of charging and coding data. The process responsible for creating those claim lines is “Code Integration.” At most organizations, this process is a black box. It happens behind […]

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