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The Role of Coding and Billing Compliance in Reducing Errors and Optimizing Revenue in ACOs

The Role of Coding and Billing Compliance in Reducing Errors and Optimizing Revenue in ACOs

January 9, 2025Jean DelvaSymbion CodingChronic Care Management (CCM),VBC Development, Growth & Expansion,Clinical Documentation, Coding

Accountable Care Organizations (ACOs) are designed to streamline patient care while optimizing healthcare costs and improving outcomes. However, one key aspect that many ACOs grapple with is ensuring accurate and compliant coding and billing practices. Coding and billing compliance are essential in preventing costly errors, minimizing revenue leakage, and maintaining regulatory adherence, which is vital in today’s complex healthcare environment.

For ACOs, ensuring coding and billing compliance can seem daunting, but it is necessary. As the healthcare system shifts toward value-based care models, understanding the role of coding and billing compliance becomes a critical strategy for reducing errors and optimizing revenue. This article will explore how coding and billing compliance directly influence these outcomes and what ACOs can do to improve their processes.

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: Coding, HCC, Risk adjustment coding

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