Diagnosis and Procedural Coding Analysis And Optimization
 CodeOne – A Bailout Plan for Underperforming Reimbursement Rates
CodeOne is a The 80/20 Group’s rapid turnaround program for curing the common code.
CodeOne consists of the following:
- Bell curve analysis of common ICD-9 codes used – Adjustment Plan
- Use of modifiers - Recommendation
- Audit of randomly selected EOB’s - Recommendation
- Audit of trouble EOB’s - Recommendation
- Fee Schedule analysis – Make changes
- Amount Paid vs. Contracted Rate - Reconciliation
- MAC Rate (Maximum Allowable Cost) Strategy
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