Amanda Whitener

The other opportunity is to keep the cash the center gets by remaining compliant.

So it's important to have that.

your coding solution routinely audited one coding mistake.

I mean, I'm sure everyone knows this one coding mistake could cost thousands of dollars.

It seems it seems kind of like a smaller issue, but even one misplaced 59 modifier.

This is a modifier now.

could lead to an inquisitive payer initiating a full-on audit that could lead to costly take back.

So making sure to have certified coders for each specialty is huge.

Here at Nimble, we have over 380 coders.

Our coders are certified and we make sure we support every specialty.

It's very important to have certifications for every specialty that you're performing.

Finally, I would include kind of to harken back to what Tim was saying, just streamlined RCM processes from start to finish.

Prior auths continue to be a talking point in our space with the payer complexity supporting the requirement for prior auths.

So while we're waiting for changes in those requirements to occur, we need to be diligent in our front end processes.

We need to know our contracts, obtain prior auths, sometimes for a range of codes.

Collect patient balances up front.

Code what's dictated on the operative report, no more, no less.

There comes that compliance.

Keep charges consistent and pay close attention to the line item requirements, such as NDC numbers for drug codes.

We want to strive for 95 plus percent clean claims on first pass.