Robert Freedman is a healthcare auditing solutions executive at Hayes Management Consulting. He works with healthcare organizations to reduce billing compliance risk.
Instead of using complex mathematical equations full of Greek symbols to explain queuing theory as it relates to ICD-10, I’m going to use an analogy we can all understand: traffic jams.
Healthcare has a large number of coders fixing claims just before they go out the door. Very often, it is the same types of edits that are being fixed on a daily basis. This is time-consuming and labor intensive. It also increases days in A/R. Yet it is status quo for many in healthcare.