The CEO from AthenaHealth comments:
“There’s a lot of art in medicine, but there’s also a lot of science and a lot of mechanics,” Bush said. “And the mechanics are being treated like art.”
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{ 2 comments }
One word…Bull$hit.
For every denied claim due to my “error” in documenting (and it happens), there are 50 denied claims due to insurance company screw ups or various other reasons on the insurance end of things. I’ve been doing this a long time. I know the key words needed that “should” get my claims processed. I know exactly how to fill dictate a patient record so it conforms to medicare billing guidelines. I also have one person who does this as her ONLY job every day. She’s really good (and she has a pretty low opinion of most people on the other end of the line …from experience). Every newbie doctor figures it out within a year after finishing residency or they wouldn’t survive the claims process. Part of the problem is that the insurance company’s hire people who have no understanding of medcine whatsoever.
“Part of the problem is that the insurance company’s hire people who have no understanding of medcine whatsoever.”
Looks like they have lots of company too…
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