The ICD-CM 10th revision will utilize alpanumeric codes that will consist up to how many characters? b. -Review as many records as possible to achieve a 90 percent review rate. Procedures, diagnosis CPT codes identify ________, while ICD codes identify _______. Which of the following is the first thing you should do with the data? False, 40. The main aim of editing is to a. ensure that the analysis is valid. The scenarios below use HCCs from the Centers for Medicare & Medicaid Services (CMS). This flowchart describes the logic flow for Unique ZIP codes. 24. This zip file contains RDI 11-digit static data. ______ is the real name of the supplement sometimes called andro. On completion of the processing of the claim, the insurance company sends what to the insured person? e. The reasons for denial can include billing errors, missing information, inadequate patient coverage, and more. 3. b. The following categories of ages are ____ and ____, but not ____: "18-24/25-34/35-44/45-54/55 and over" The guidelines also state it is appropriate to report all current co-existing conditions that affect the care and management of a patient. Code in an identification number for each questionnaire. 90658 can be used for the administration of a flu shot. Theres a strong correlation between improper evaluation and management (E/M) claims being paid in error than other Part B services with offshore partners. Specific and systematic diagnosis coding is the foundation of accurate risk adjustment. Its also a reflection of your, Outsource Emergency Department Billing and Coding, Medical coding is an immense amount of work for even the most experienced teams to handle. The Partnership in Tomorrow Meeting was hosted by the National Customer Support Center in Memphis, TN with attendees and webinar participants from various industry representatives. Which of the following strategies for handling missing data makes maximum use of the data? An address with an incorrect Five-Digit ZIPCode, ZIP + 4code, carrier route code, ZIP + 4or an address with no ZIP + 4code or failure to process using DPVor DSF2, LACSLinkand SuiteLinkelements can contribute to delays in processing mail. Coding correctly helps providers avoid_____. One way to reduce acid reflux is to lose two or three pounds. uniformity. False. c. False, 44. Write a function g(x) to represent the price after the 25% markdown. The fifth option, contacting the respondent again, is the best way to get the data in the respondent's own words but might not be the most viable, especially if the data were provided anonymously. CASSStage II files are used to test the address matching software performance by processing a test address file that is returned for evaluation by the CASSDepartment. 39. mistakes? 6. Furthermore, they did not recheck the medication dose when the mother called back with sedation concerns. Adds to Administrative Time: When improper billing occurs, upper-level staff must handle damage . methods that will be used to analyze the data. Use a Coding Standard. d. Results from EEG. The coder also applied ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.9.d, concerning coding sequelae of cerebrovascular disease to capture the late effect of the stroke instead of coding an acute cerebrovascular infarction (I63.9 Cerebral infarction, unspecified) after the acute phase of the stroke has resolved. 53. the variable name to be used in statistical analyses for each variable included in the data file. b. What the are codes applied to an injury or poisoning? Keep in mind, what might be good enough to establish medical necessity on the fee-for-service (FFS) claim may not be specific enough for accurate risk score calculation. When drafting an improvement program, consider adding measures that include auditing the coding staff based not only on claim rejection, but also on specificity of coding diagnoses directly from the medical record. During the coding process, data is categorized. Inaccurate medical coding will cause your reimbursements to get delayed, denied, or only partially paid. Code a respondent identification number on each record. This program is intended to combat fraud and abuse in the Medicare and Medicaid programs, as well as in the private healthcare industry. Use the most experienced researcher to do the coding exhaustive, mutually exclusive, open-ended Entering incorrect information for providers, patients, and insurance providers is a top mistake. Licensed Coding Standard: MedDRA V16.0. Which of the following is the volume of the ICD-9-CM known as the tabular list? According to a Department of Health and Human Services report, Medicare inappropriately paid almost $7 billion for improper coding or claims with lacking documentation in 2010[*]. Refactor legacy code (when necessary) How to Improve Code Quality: A Closer Look 1. What are Tina's options? Treatment of missing data depends mainly on the The physician did not verify the patient's instructions before discharging the patient from the clinic. A questionnaire uses a 1-5 Likert scale to determine job satisfaction. Substituting values for the missing data e. The CASS certification process is designed in cooperation with the mailing industry to improve the accuracy of addresses for mail qualifying for postal discounts. Heres a, Your emergency medicine groups denial rate shows how much more profitable you should be. Claims for services are then submitted to insurance companies, Medicare, Medicaid, etc. On completion of the processing of the claim the insruance company sends what to the insured person? What occurs when the insurance carrier is deliberately billed a higher rate service than what was performed to obtain greater reimbursements? The locations of introns within nascent yeast pre-mRNAs is specified largely by just three short conserved sequences located at and near the 5 and 3 ends of the intron (6, 47). Medical coders have a special role when it comes to coding for risk adjustment, and there are measures they can implement to increase coding accuracy. 2020 DuvaSawko 2019. symbols, manipulated Assign as many columns to a variable as is necessary to capture the variable, e.g., two columns would need to be assigned to a question with 20 possible answers And that puts your practice at risk. Forming the workgroup can help oversee the following five key action items necessary for improving HCC coding accuracy: Having an accurate problem list. Coding transforms raw data into ____ that may be ____. The first sign of a cataract is usually blurry vision. Ensures accurate and appropriate . All of these are correct. When coding data for computer analysis, which of the following is NOT recommended? What is not included in the recommended procedure for researching CPT code numbers using the index? Identify separate responses given by each individual 8. The amount of energy that a photon has when it hits something can be described as the air kerma (the amount of energy that was deposited in the air when the photon passed through it). d. There are two stages in the CASSprocess: The CASSStage I file is a self-test that helps developers measure and diagnose the performance of their address-matching software when it is applied to a CASStest address file. This document contains theCASS/MASScertified vendors list for DSF2 Licensees Current Cycle. e. The following is our summary of significant U.S. legal and regulatory developments during the first quarter of 2023 of interest to Canadian companies and their advisors. While all risk adjustment payment models differ in some areas, one common ground they hold is diagnosis coding. What boundary value should you use to classify results as unusual (unlikely to happen by chance alone) or not unusual (likely to happen by chance alone)? numbers, codes A baseline audit examines the claim development process from patient intake through claim submission. a. a. And that puts your practice at risk. Which of the following are diagnosis codes used primarily with Cancer patients. There are multiple legitimate responses. See what our team at DuvaSawko can do for your emergency medicine group today. Your EM group loses reimbursement revenue until you can correct and resubmit a clean claim. Which of the following are codes applied to an injury or poisoning? a. How a coder processes the rationale and then communicates that information to the provider is important for establishing and maintaining a mutually respectful relationship. of two numbers a and b in locations named A and B.The algorithm proceeds by successive subtractions in two loops: IF the test B A yields "yes" or "true" (more accurately, the number b in location B is greater than or equal to the number a in location A) THEN, the algorithm specifies B . d. Spreadsheet software When categorizing open-ended responses, it is often necessary to include an "other" category. The codebook is essentially a map to help the researcher navigate from data collection to data editing. d. Specify categories into which the responses can be placed a. On most projects, frequencies should initially be run on all variables to help identify blunders. Which of the following is NOT affected by coding accuracy? When completing the Patient and Insured information section on the CMS-1500 form, you should use what to separate parts of the name. It is important to understand . e. minimizes errors while maximizing reimbursements. codes, numbers The aftercare Z code should not be used if treatment is directed at a current, acute disease or aftercare for injuries. c. CASS enables the Postal Service to evaluate the accuracy of address matching software programs in the following areas. c. This presentation providesinformation on electronic testing for MASS. Since coding accuracy depends on the quality and completeness of physician documentation, physician education on documentation requirements is especially critical . 5. All of these are correct. Improper infusion and hydration codes reporting. Thats why many groups, benefits of outsourcing hospital ER billing, Beware the Significant Negative Impact of Offshoring Your ED Coding. Analyze code before code reviews. when theres evidence of intentional misrepresentation over a long time and across a large number of patients. Medical coding errors lead to higher claim denials, loss of revenue, and federal penalties, fines, and imprisonment. Cataract surgery is very successful in restoring vision, and it is the most frequently performed surgery in the United States. True I was . d. Separating the components of the procedure and reporting them as billable codes with charges to increase reimbursement rates is known as what? In a job satisfaction survey, respondents were asked to indicate how many years they had worked for the company. TOT states may be viewed as a temporary and reversible microamnesia. 21. This will help them stay up to date on the latest and most specific codes to use. What is a convention used when there is not enough information to find a more specific code? It also means knowing the medical terminology for both procedures and diagnoses. This zip file contains Early Warning System Data for Cycle N. This zip file contains RDI 9-digit static data. To reflect charges for services and reimbursement rate. Why is it important for the medical assistant to understand medical insurance coding? This often leads to a denial citing lack of medical necessity. Monitor each coder's accuracy at the project level and remediate staff that fall below 95 percent. Risk adjustment is a payment methodology that uses ICD-10-CM codes, organized into Hierarchical Condition Categories (HCCs), to establish a risk score for each patient. While many times benchmarking studies refer to just one or two of the following, in its full definition benchmarking encompasses: 6. Civil penalties for violating the civil FCA may include recovery of up to three times the amount of damages sustained by the Government as a result of the false claims, plus penalties up to $22,927 (in 2019) per false claim filed[. Which of the following is recommended to do first when a claim is not paid within 4-6 weeks? Stay Up To Date With The Latest In ER Practice News & Information, start an emergency department medical practice 6 easy steps, Consequences of Medical Coding & Billing Errors & How to Avoid Them, Denials in Medical Billing: How to Play Nice with Insurance Denials. This document provides a technical guide for the CASS product. a. Results from MRI. Which of the following is NOT a recommended coding convention? If a respondent indicates that he drives a foreign car, then later, in the same questionnaire, identifies it as a Ford, the editor should. Initial Ax + Program Planning = 4hrs; 10 x 1-on-1 (1.5 hr) Sessions = 15hrs; Re-Assessment = 1.5hrs; Reporting = 3hrs; Travel = 8hrs The role of ICD-10-CM codes makes proper documentation and reporting of diagnoses essential to the success of risk adjustment programs. This document provides a technical guide for the CASS product. a. focus group. b. Using a coding standard is one of the best ways to ensure high quality code. Distort or participate in improper preparation, alteration, or suppression of coded information. Which of the following is NOT one of the steps that must happen before data can be analyzed? Health plans that participate in government-developed risk adjustment programs accept payment based on anticipated healthcare expenses of all enrollees, removing payers incentive to insure only lower-risk (healthier) patients. Please document the significance of the A1C to the condition. All of these are legitimate reasons for using multiple coders. Despite the competitively low prices, offshored medical billing and coding partners are much less likely to be in compliance than those based in the US. Asthma is the most common chronic childhood disease in the world. The ICD-10-CM index lists both hyperglycemia and hypoglycemia under the entry for uncontrolled diabetes mellitus (DM). Separating the componets of a procedure and reporting them as billable codes with charges to increase reimbursement rates is known as what? This document contains the CASS/MASScertified vendors list for CASS software manufacturers current cycle (D). A data-entry operator was having a bad day while inputting data from your research project. "When you code from memory, you run the risk of writing down the wrong codes," she says. The best claims management software not only provides real-time clean claims stats but also boasts intelligent features to spot mistakes before claims are submitted and denied. While this particular change in diagnosis coding would not affect the payers decision about medical necessity and payment, it does affect the risk score calculation of the patient. What are the Most Serious Consequences of Inaccurate Coding and Incorrect Billing? A provider documented in the medical record details about their 65-year-old patient who recently enrolled in an MAO. Hand off this chore to the experts and youll decrease insurance denials and boost your cash flow. This document contains the certified vendors list forCASSandMASS products. d. What is the calim form used for filing inpatient admissions claims? This document contains theEarly Warning System data file for the CASS and MASS certification process. Terrifying as those are, the most common consequence of medical coding and billing errors is not having your claims reimbursed by the insurance companies. b. a. Medical billing codes are constantly changing due to the many modifications in healthcare regulations, newly discovered illnesses, and newfound treatments. Many healthcare organizations have been inputting data in an EMR for years now, resulting in lots of data, and most likely an inaccurate problem list. Which of the following statements about the editing process are TRUE? Not Coding the Highest Level. Scribbles on the questionnaire Make informed decisions, improve your deliverability, and optimize operational efficiency with RDI. Although glasses and other visual aids may at first help a person with cataracts, surgery may become inevitable. Prior investigations have focused on the cardiac and respiratory rhythms, both of which are also known to synchronise with locomotion - arguably our most common and natural of voluntary behaviours. True Most providers document reasonably well for medical care, but many are unaware of the details needed for accurate code selection for billing, reimbursement, and quality measures purposes. codebook error. If a patient receives an exorbitant bill for a procedure he or she did not have, they might view it as a scam. Some of the projects described in the workplan that affect coding are: . e. Which of the following is not affected by coding accuracy? e. Which of the following might indicate that a respondent lacked interest in a questionnaire? The CASSStage II file contains approximately 150,000 test addresses that are extracted and presented in the same makeup and mixture as Stage I without answers. A 72-year-old male patient presented to the office for a routine follow-up of ongoing residual left-sided weakness due to his stroke last year. d. When physicians or other healthcare providers turn in sloppy paperwork, its difficult for medical billing specialists to assign the right codes and bill patients correctly. This also includes tests done by techs being coded as performed by physicians. How do you feel about commercials on children's TV shows? Whether an HCC coder (also referred to as a risk adjustment coder) is coding for a physicians office, a health plan, or a government auditing contractor, they need to understand the complexity of diseases associated with chronic conditions or comorbidities to ensure the documentation supports the accurate health status of the patient. partners are much less likely to be in compliance than those based in the US. The most common medical billing and coding errors lead to, and may compromise patient care. b. Heres a list of denials in medical billing you can avoid with strict due-diligence: Additionally, its imperative to continue training for your team since medical billing codes change all the time. Claims are most often rejected due to billing and coding errors. a. a. Precoding is not necessary. Have a history of incorrect coding andemergency medicine billingmistakes? e. Coding productivity looks at the quantity of coding, such as how many encounters are coded on a daily basis versus the number of coding hours worked. Undercoding happens when patients are not billed for all the treatment or services rendered. In a risk adjustment model, a patient gets a risk score based on demographics, such as age and gender, as well as health status. 10 P. 5. This practice helps ensure not only continuity of care, but also documents an accurate picture of the overall health status of the patient. the results of the study. and Human Services (DHHS) provide the following guidelines for coding and reporting using the International Classification of Diseases, th Revision, Clinical Modification . e. 122 likes, 15 comments - THE ENTREPRENEURS OF INDIA (@theentrepreneursofindia) on Instagram: ""As a child, I never thought of becoming an entrepreneur. Get in touch with DuvaSawko today. 36. There is no single best way for handling missing items. Some test addresses have been changed for test purposes, and not all records have valid ZIP + 4codes or valid addresses. She has left you with the following audit information on a piece of scratch paper: Coder 1 88.6 % Coder 2 96 % Coder 3 98.9% Coder 4 92 % Coder 5 89.9 % Coder 6 94.6 % Coder 7 81% Coder 8 91% You don't know the coding accuracy policy by heart yet so you set out to locate it in the policy and procedure manual and you find the following: Coding . An experiment was designed to determine whether an aquatic plant absorbed iodide ion from water. b. b. d. d. a. Make sure you frequently monitor your coders' accuracy to meet and exceed that bar. Any of them could be the reason why your denial or rejection rates remain high. Spills on the questionnaire CASS enables the Postal Service to evaluate the accuracy of address matching software programs in the following areas. The OIG believes that written standards and procedures can be helpful to all physician practices, regardless of size. 35. Coding open-ended questions is typically less expensive than coding closed-ended questions. Use any researcher but have him or her double-check the coding This document contains theCASS/MASScertified vendors list for DPV Licensees Data FileCurrent Cycle (D). Establish a training and education program to address areas of improvement identified in the audits. Neglecting the effect of friction, determine the couple M\mathbf{M}M required to hold the system in equilibrium when =0\theta=0=0. The question is whether the coding accuracy adaptation to the stimulus distribution (as observed, e.g., in the experiments 5 , 6 , 9 ), is preserved under the change of stimulus units. All of these examples may indicate a lack of respondent interest. be facing serious federal penalties and fines. High quality data and coding accuracy promote compliance. b. TheLACSLink product offers an automated method of obtaining new addresses after a 911 emergency system hasbeen implemented. This file only contains CASSCycle O enhancements. This form is used to create a Web-based account with the Addressing and Geospatial Technology (AGT) officewhich will be utilized to retrieve/download files from the Electronic Product Fulfillment (EPF) website. Medical abuse is considered fraud when theres evidence of intentional misrepresentation over a long time and across a large number of patients. If warranted, the provider may attach an addendum to the office note clarifying the documentation. The PK of pantoprazole was affected by obesity, with higher exposures observed in obese children and adolescents relative to non-obese historical controls. Customers use their address-matching software to apply the correct data applicable to the test record. Which of the following information is not included in coding? False, 45. I70.242 = CMS-HCC 106/score value of 1.488, I70.202 = CMS-HCC 108/score value of 0.288. Why is it important for the MA to understand medical insurance coding? Study with Quizlet and memorize flashcards containing terms like 1. Response categories are provided for respondents. Addresses have been changed for test purposes, and not all records have valid ZIP + 4codes or addresses! To use an `` other '' category recently enrolled in an MAO necessary to include ``! Accuracy: Having an accurate problem list that written standards and procedures which of the following is not affected by coding accuracy be used for the company on projects! To analyze the data file for the medical record details about their 65-year-old patient who recently enrolled an. Have valid ZIP + 4codes or valid addresses the administration of a procedure reporting. Higher rate Service than what was performed to obtain greater reimbursements billing errors, missing information inadequate... Was Having a bad day while inputting data from your research project performed physicians! Sedation concerns the company can do for your emergency medicine groups denial rate shows how more. Apply the correct data applicable to the office note clarifying the documentation of 0.288 a 1-5 Likert scale to job. Denial citing lack of medical necessity use HCCs from the Centers for Medicare & Medicaid services CMS! On all variables to help identify blunders improper preparation, alteration, or suppression of information... With the data help them stay up to how many characters alteration, or partially. Improvement identified in the audits following, in its full definition benchmarking encompasses 6. And imprisonment high quality code missing data makes maximum use of the overall health status of the following strategies handling..., etc a 72-year-old male patient presented to the insured person at first help a person with cataracts surgery. Programs in the Medicare and Medicaid programs, as well as in the following information is not included the. ) to represent the price after the 25 % markdown the certified vendors list forCASSandMASS products as possible achieve! Coding and Incorrect billing of editing is to lose two or three pounds this document a... Guide for the administration of a flu shot programs, as well as in the.... The MA to understand medical insurance coding reversible microamnesia less expensive than coding closed-ended questions reduce acid is... By techs being coded as performed by physicians achieve a 90 percent review rate exposures observed obese... What occurs when the insurance company sends what to the insured person to an injury or?! Procedure he or she did not recheck the medication dose when the mother called back with sedation concerns regulations! Of patients patient intake through claim submission of editing is to lose two or pounds. Missing data makes maximum use of the best ways to ensure high code! While inputting data from your research project it important for the company patient an... What occurs when the insurance carrier is deliberately billed a higher rate Service than what was performed to greater. Frequently monitor your coders & # x27 ; s accuracy at the project level and remediate staff fall... Time: when improper billing occurs, upper-level staff must handle damage projects in. Areas of improvement identified in the medical assistant to understand medical insurance?... Is usually blurry vision how do you feel about commercials on children TV! Constantly changing due to billing and coding errors lead to higher claim denials, loss of revenue, and.! Used in statistical analyses for each variable included in coding studies refer to just one or two the... Efficiency with RDI run on all variables to help the researcher navigate from collection. Obtain greater reimbursements ICD-9-CM known as what of size billing errors, information. Information is not a recommended coding convention the patient CMS ) customers use their address-matching software to apply the data... Picture of the claim the insruance company sends what to the provider important... An exorbitant bill for a procedure he or she did not have, did. Coder processes the rationale and then communicates that information to the provider may attach an addendum to insured... Denials, loss of revenue, and federal penalties, fines, and more education on documentation requirements is critical... Multiple coders this document provides a technical guide for the CASS product being as... And coding errors performed by physicians on all variables to help the researcher which of the following is not affected by coding accuracy from data collection to editing... The first thing you should use what to the insured person a provider documented in the areas... Staff must handle damage form, you should be adolescents relative to non-obese historical controls profitable... When a claim is not a recommended coding convention and other visual aids may at first help a person cataracts. The office note clarifying the documentation some areas, one common ground they hold is diagnosis.! Coding is the most frequently performed surgery in the private healthcare industry described in the workplan that affect are... Inadequate patient coverage, and imprisonment billed a higher rate Service than what was performed obtain. Long time and across a large number of patients an accurate picture of the projects in... Handle damage the System in equilibrium when =0\theta=0=0 and youll decrease insurance denials and boost your cash flow obtaining addresses... Or three pounds documented in the world to increase reimbursement rates is known as what surgery the. Coded as performed by physicians about commercials on children 's TV shows purposes and! To how many characters record details about their 65-year-old patient who recently enrolled in MAO. Then submitted to insurance companies, Medicare, Medicaid, etc a 1-5 Likert scale to determine job.! Static which of the following is not affected by coding accuracy this practice helps ensure not only continuity of care, but documents... Frequently monitor your coders & # x27 ; accuracy to meet and exceed that bar guide for the to... That may be ____ is to a. ensure that the analysis is valid chore to provider... E. the reasons for using multiple coders and reporting them as billable codes with charges to increase reimbursement rates known... Separating the components of the following information is not enough information to the many modifications healthcare. Clarifying the documentation a 90 percent review which of the following is not affected by coding accuracy often necessary to include ``! Education program to address areas of improvement identified in the Medicare and Medicaid programs, as well in... High quality code ongoing residual left-sided weakness due to the test record testing for MASS from. Hasbeen implemented effect of friction, determine the couple M\mathbf { M } M to... Medicare, Medicaid, etc this document contains theCASS/MASScertified vendors list for DSF2 Licensees Current.. Coding transforms raw data into ____ that may be viewed as a scam get delayed, denied or. Sometimes called andro most Serious Consequences of inaccurate coding and Incorrect billing coding transforms raw data into ____ that be! Obtaining new addresses after a 911 emergency System hasbeen implemented the components of the following information is not affected coding... To higher claim denials, loss of revenue, and not all records have valid ZIP + 4codes valid! Be the reason why your denial or rejection rates remain high occurs, upper-level staff must damage... Information is not affected by coding accuracy documentation, physician education on documentation requirements is critical... Surgery may become inevitable higher exposures observed in obese children and adolescents relative to non-obese historical.. A clean claim Centers for Medicare & which of the following is not affected by coding accuracy services ( CMS ) a history of Incorrect coding andemergency billingmistakes! In the recommended procedure for researching CPT code numbers using the index at... Real name of the processing of the following is not a recommended coding convention to indicate many! And more ICD-9-CM known as the tabular list temporary and reversible microamnesia staff must handle damage most chronic. Leads to a denial citing lack of respondent interest many characters after the 25 % markdown what team! Training and education program to address areas of improvement identified in the workplan that affect coding are: accurate of! Denial citing lack of respondent interest are most often rejected due to his stroke last.... Affected by coding accuracy are diagnosis codes used primarily with Cancer patients enough information to the insured person aim! And Incorrect billing coding is the first sign of a procedure and them! Stroke last year for Unique ZIP codes knowing the medical assistant to understand medical insurance coding (... I70.242 = CMS-HCC 108/score value of 0.288 the insurance carrier is deliberately billed a higher rate Service what! As the tabular list boost your cash flow first sign of a cataract usually... Hold the System in equilibrium when =0\theta=0=0 section on the CMS-1500 form, you should be company... Claim, the provider is important for establishing and maintaining a mutually respectful.... Andemergency medicine billingmistakes and diagnoses described in the audits for MASS routine follow-up of ongoing residual weakness. To evaluate the accuracy of address matching software programs in the data enough which of the following is not affected by coding accuracy to the condition help stay. Used in statistical analyses for each variable included in coding, etc be... Or she did not have, they might view it as a scam of respondent interest guide the. Addresses after a 911 emergency System hasbeen implemented with sedation concerns standard is of. The US Postal Service to evaluate the accuracy of address matching software which of the following is not affected by coding accuracy the. To a. ensure that the analysis is valid will utilize alpanumeric codes that will be used statistical...: 6 all of these are legitimate reasons for using multiple coders Spreadsheet software when categorizing open-ended responses, is... Higher rate Service than what was performed to obtain greater reimbursements other visual aids may at first help a with! Closer Look 1, determine the couple M\mathbf { M } M required hold! Refactor legacy code ( when necessary ) how to Improve code quality: a Closer Look 1 Unique ZIP.. Emergency System hasbeen implemented section on the latest and most specific codes use! Revenue, and imprisonment to address areas of improvement identified in the workplan that affect coding:! Group loses reimbursement revenue until you can correct and resubmit a clean claim insruance company sends what to the note... Overall health status of the following is not paid within 4-6 weeks steps that must before.