Errors and Compliance in Coding

There are so many errors in the medical field that the can occur with billing and coding errors, however, there are also solutions to fix those errors as well. The 3 of the most frequent billing errors and there solutions are double claims, which are a frequent billing error, a solution for this by checking all discharge advices for previously submitted claims before resubmitting. Also when you are making changes to claims that have already been paid, instead of submitted a new claim form, submit an adjustment form. Secondly, mismatch between the gender or age of the patient and the selected code when the code involves selection for either criterion. This can be prevented by checking and double checking the patient’s information with the correct codes being used when a patient first comes in. Thirdly, medical providers sometimes always assign the same level of E/M service codes each time a patient comes for an appointment. This can be prevented by verifying recipient eligibility as well and making sure the code matches the procedure that was done at the medical provider’s office. The American NCCI has an effect in regards to correct coding and billing strategies which can be fixed by decreasing errors caused by incorrect coding on the part of the medical provider. These coding strategies provide an alternative way of coding and billing and in a way lowers of the cost of insurance frauds. The National Correct Coding Initiative successfully prevents insurance payments for nearly all services that meet a denial basis for the CCI edits. Therefore, coding and billing standards have improved by making sure there are fewer mistakes.