ABOUT

The client is a neurology clinic based in Georgia.

CHALLENGES

Coding denials. With so few neurology coders around, the biggest challenge that the practice faced was denials through inaccurate coding. Further, coding guidelines for neurology are complicated subject to frequent changes. Risks of compliance audit are also high.

WHAT WE DID

Given that neurology is an arcane sub-specialty, it was important for our coders to identify what insurances in Georgia expected for certain types of procedures and where the practice faced continued denials. Once we figured this out, we developed coding guidelines that helped the neurologist accurately represent her encounter with the patient. We also helped the practice navigate the Physician Quality Reporting System (PQRS) and avoid associated penalties.

LIFE WITH NEXTSERVICES

Not only did the NextServices team ensure neurology coding success for the practice, we also trained the doctor on ICD-10CM coding and helped the practice achieve zero denials in ICD-10 coding.