By Nancy Hirschl, BS, CCS, AHIMA-Approved ICD-10 Trainer
Vice President, HIM & Product Strategy
Despite the relatively lower per-encounter reimbursements involved, outpatient (OP) coding can be more challenging than inpatient (IP) coding. OP coding often has more moving parts, unique constraints, and can require highly specific skillsets to support certain service lines. And just as with IP coding, most providers only perform audits on a small percentage of OP encounters, despite the much higher volume. This forces many providers to settle for a ‘good enough’ mindset that undercuts financial performance at a time when every penny counts.