Accurate Coding and Charting: How Claims Auditing Improves Medical Billing

Claims auditing is a core compliance function, but not always included in revenue cycle management (RCM) company service offerings.  In a recent presentation at a Health Care Compliance Association (HCCA) Regional Conference, Hal Nelson (VP of Anesthesia Services for MSN Healthcare Solutions) presented “Revenue Optimization and Risk Management Strategies for Anesthesiology Billing.”  His topic emphasized the necessity of accurate charting and proactive coding feedback to clinicians.

Mr. Nelson provided examples of how education helps ensure all required elements are documented in source documents to comply with Medicare Guidelines for Billing.  Examples included appropriate charting of anesthesia time, using operative reports to improve procedural and diagnosis coding specificity, and correctly charting care team anesthesia cases.  Ongoing communication with providers helps tighten documentation processes and can identify billing opportunities, as providers rely upon experts for this type of valuable feedback.

Mr. Nelson and Lisa Warren, CHC, Director of Pathology Services, represented MSN Healthcare Solutions at the meeting.  Ms. Warren has held a certification in healthcare compliance (CHC) since 2011 and served on the planning committee for the regional meeting, held in St. Louis, MO.

MSN Healthcare Solutions is a national revenue cycle management company serving radiology, anesthesiology and pathology practices.  MSN maintains a comprehensive compliance program for clients, with expertise in all specialties.    

Hal Nelson, Vice President Anesthesiology Services

CANPC

VP of Anesthesiology Services

Hal has 30+ years of experience on both the payor and RCM side, with a focus in Anesthesia. He formerly worked as a senior claims approver at United Healthcare, as well as a compliance officer for multiple national anesthesia billing companies. His broad-based experience ensures that MSN clients have a resource for documentation and billing issues. His past speaking engagements include ASA, MGMA, Dartmouth, and Johns Hopkins.

Lisa Warren 2 2023

Lisa Warren

CHC

Director of Pathology Client Services

Lisa Warren, CHC, a seasoned client service professional with a robust history in healthcare compliance, is a Director of Pathology Services at MSN Healthcare Solutions, a revenue cycle management company for pathology, anesthesiology, and radiology. Since obtaining her certification in healthcare compliance (CHC) in 2011, Lisa has consistently contributed to the field, including serving on the planning committee for the Health Care Compliance Association Regional Conference in St. Louis, MO. Her expertise and pathology client focus at MSN Healthcare Solutions underscore her dedication to maintaining high standards in healthcare billing and compliance, reflecting her standing as a respected figure in the industry.

Share this post:

Related Posts

MSN Services Inquiry

If you would like to learn more about MSN services for your practice, please call us or use the form below.

1-866-567-7405  / Local: 706-653-8150





State:
Specialty:
Interested Services:

MSN Email Sign Up

Proactive communication and education are essential to running efficient and profitable practices.

Sign up below to receive regular industry news!