In addition, studies estimate that providers lose between 9% and 20% of their potential income each year to downcoding – either through self-inflicted selection of a lower level of service, or insurer-imposed changes to billing codes due to inadequate documentation. Downcoding can be the result of lack of knowledge of billing and coding rules, concern about claims denials, fear of being audited, or inadequate documentation, but with the right support, providers can accurately represent their scope of service.
Skywriters receive training on quality performance standards and the medical billing process, and are able to improve the completeness of documentation, reduce the incidence of down-coding, and ensure that each chart is signed by its owner (the provider). With Skywriter MD, providers can expect consistent, accurate and complete data entry to meet the comprehensive documentation and reporting requirements of today’s health reform pressures. The financial benefit of improving the quality of documentation will depend on the group or practice; an indicator of the potential value is the recurring rate of down-coded charts.