Denials in healthcare usually focus on high-dollar procedures like hip and knee replacements, or other MS-DRGs may also come under this radar. With wound care medical billing and coding, we have identified so many challenges.
Proper documentation is necessary for clinical substances and processes especially when support medical necessity is involved. This doesn’t attract a clinician’s judgment and medical decision-making for performing the procedure. Physicians have been conditioned to document excisional debridement, but if we think about payment recovery for these practices, they need to do a lot more than just paperwork and documentation. To handle wound care medical coding for inpatients frequently lacks sufficient documentation.