Coding - It’s Not Just the Provider’s Job: One Health Center’s Story

We've all heard this quote, "Insanity: Doing the same thing over and over again and expecting different results." Unfortunately, this is often our approach to coding improvement as we tend to just focus on the provider and what they didn't do right. This can lead to provider disengagement, coupled with a shortage of primary care physicians and an increase in patient demand-- it's not a good business plan. Session presenters will focus on strategies to improve provider engagement and the pros and cons of different coding and compliance improvement approaches utilized by the Greater Lawrence Family Health Center. This health center's strategies resulted in an increase in revenue per encounter and risk score for enhanced reimbursement over a two year period.

• Provide examples of different strategies to improve provider engagement in coding and compliance initiatives.
• Identify the pros and cons of different approaches to coding and compliance improvement.
• Describe how coding and compliance improvement approaches can result in an increase in revenue per encounter and risk score for enhanced reimbursement.