BC Advantage - 2022 Issue 7

The Move to Single-Path Coding

Faulty and errant documentation and coding are driving outpatient reimbursement inefficiencies, costing U.S. healthcare about $54 billion annually. Unaddressed, these costs are increasing alongside outpatient revenue, growing at a year-over-year rate of 9%.For providers, the primary catalysts for change are an evolving regulatory environment that includes the ongoing transition to value-based care and restrictions, such as Medicare’s Two-Midnight rule. For patients, escalating healthcare costs and the convenience of outpatient care are pushing people away from hospitals.So, hospitals and health systems are searching for ways to reduce expenses and shore up revenue streams. Some are turning...

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