We are researching how orthopedic and musculoskeletal (MSK) practices manage clinical documentation, claim denials and payer audits. We are looking to talk to Revenue cycle, clinical documentation improvement (CDI), coding compliance or billing leaders at US orthopedic, spine, pain management or MSK practices, multi-specialty groups with a large orthopedic service line, or ambulatory surgery centers (ASCs) that perform orthopedic procedures. You should have direct say in, or close knowledge of, how charts are reviewed before billing and how denials and payer audits are handled.
What we will cover:
- How your team reviews documentation before claims go out
- Where denials, prior authorization issues and payer record requests come from
- What you have tried to fix them, and what it costs your team
- What a good solution would need to do for you
No patient information or PHI will be discussed. General process and examples only.