New Red Flags Raised For Offshore Coding in October 2017 HIM Scene

by | Oct 10, 2017

A denied claims document with red flags and a pen on it
HIM Scene, a leading industry blog for health information management professionals, recognizes the need to carefully weigh outsourced coding options in a post ICD-10 environment in their October post. With 70 percent of outsourcing clients expected to extend current outsourcing contracts through 2020 , now is the time to re-evaluate coding partnerships with a careful eye on privacy, security and quality.

In this HIM Scene article, Sarah Humbert, RHIA, ICD-10 AHIMA Certified Trainer, Coding and Compliance Manager for KIWI-TEK, lists the common concerns reported by hospitals and health systems using offshore coding services:

  • Increased audit costs
  • Higher denial rates
  • Missed procedure codes

Humbert suggests HIM professionals carefully explore, vet and secure detailed service level agreements before even considering the offshore option. Three important caveats are provided.

  1. Verify and test privacy and security for offshore coding including annual attestations
  2. Watch offshore coding quality and confirm who is actually doing the coding: instances of bait-and-switch with offshore personnel have been reported
  3. Re-evaluate outsourced coding partnership options in lieu of higher domestic coder availability post ICD-10

Read the complete HIM Scene article to learn more.