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Complex inpatient encounters often involve new, experimental surgical procedures. Most common in academic medical centers, these cases create hurdles for coders and coding management. Managers may need to forego the push for productivity while coding professionals take time to conduct research, ask questions and assign the correct codes.
HIM Scene, a leading industry blog for health information management professionals, recognizes the need to carefully weigh outsourced coding options in a post ICD-10 environment in their October post. With 70 percent of outsourcing clients expected to extend current outsourcing contracts through 2020 , now is the time to re-evaluate coding partnerships with a careful eye on privacy, security and quality.
When it comes to using offshore resources, there are several important compliance requirements HIM professionals need to know. These requirements were created by the Centers for Medicare & Medicaid Services (CMS) a decade ago and apply to the use of offshore contractors for all Medicaid, Medicare, and TRICARE patients.