Increasingly, health systems are neglecting their clinician’s role in risk coding and relying on back office systems and their Medicare Advantage Organization’s to fill the gap.
That is a capital error. Such systems are leaving an unbelievable amount of revenue on the table.
As their partnering Insurers put the screws to them and their margins narrow, health systems are increasingly going to miss that revenue.
What to do?
Harness the power of your primes to code.
Educate them, incentivize them.
If you don’t want to share-revenue, pay them directly to learn.
Pay them indirectly for meeting certain coding metrics. It can absolutely be done in a STARK compliant way.
Your primes are your most skilled, highest trained employees.
And because of the value their knowledge can unlock, they are also potentially your most lucrative. As long as you pay them for their efforts.
Not using them as part of your coding system is borderline criminal.
Unleash their power.
You’re going to need it.