Claims Management During the COVID-19 Pandemic
The COVID-19 pandemic is putting unprecedented strain on the healthcare system. And while the challenges facing the front-line healthcare providers are most obvious and concerning, payers are not immune. They're facing hurdles driven by new codes, regulatory changes, and a surge in telehealth that challenges the ability to accurately process timely payments–a critical issue for providers. On today’s episode, Dr. Frank Dubeck, chief medical officer for Payment Accuracy at Change Healthcare, joins Mike Boykin, value consultant; Tracy Mullen, manager of Clinical Development; and Kathleen Reid, product management leader for Clinical Claims Management to discuss claims code editing considerations during the global health emergency. Here are the high points of their conversation: New codes developed to deal with COVID-19 Editing to address the influx of telemedicine claims Demystifying CMS and CPC telemedicine coding conflicts COVID-19 diagnostic coding Reviewing rules configuration in ClaimsXten to reduce denials Frequency rules editing How bundling rules are impacted Episode Resources Amy Larsson's bio Dr. Frank Dubeck's bio Mike Boykin's bio Tracy Mullen's bio Kathleen Reid's bio Webinar: Claims Management and Payment Accuracy in a Pandemic ClaimsXten Coding Advisor Pre-Submission Claims Adjustment COVID-19 Updates a Resources COVID-19 Updates Newsletter Show Resources SUBSCRIBE to the podcast using any podcatcher or RSS reader Get the iOS app Get the Android app Suggest or become a guest Contact Change Healthcare
