I don't know if this is the right place to post but I'm trying to find out if my planned, scheduled ultrasound was appropriately coded as an emergency ultrasound. It did take place in a hospital setting if that matters. I seem to recall this happening once before and was just told that's how it's coded. But wouldn't coding something as an emergency procedure increase the cost?
If you could choose to take one long 16-24 week coding course or take shorter 4 week trainings that cover the same topics which would you choose? This is for inpatient coding.
Sorry if this isn't the right community to post this question. I've had my CPC through AAPC since 2021, but unfortunately, have never been able to get a job in medical coding. The only jobs I can get are in medical billing (AR follow-up).
I know there are productivity standards. I've worked for a few different companies now, and they all have their own expectations. But the company I'm at now, I feel like their productivity standards are way too high especially considering the payers that they assigned me. I'm only allowed to work workers comp, no fault, and government payers (i.e. VA and Medicaid). Everyone knows these payers are notoriously difficult to work with. Just calling them can take over an hour because of their excessive hold times.
My supervisor at this new job tracks everything I do from the emails I write down to every single click I do. And she's definitely looking at the minutes I spend on a claim. She told me today she doesn't want me spending more than 15 minutes on a claim, and much less wants me spending time calling on them and submitting appeals. In fact, she got mad at me today because "you're doing too many reconsiderations."
A huge part of AR follow-up is calling the payer and appealing the claims if you don't agree with their denial. So I'm not understanding why she's not happy with that? I'm doing my due diligence yet, I feel like this supervisor is more focused on quantity vs quality. She also told me she doesn't want me mailing appeals. Some payers (especially the government ones like the VA) only have a mailing address to send the appeals. So, like, how else am I going to send the appeal if I can't mail it?
I feel like this supervisor is completely out of touch with reality. And she micromanages absolutely everything we do down to how we write our emails to payers.
And she looks at every minute you spend on a claim, and she wants you to do 50 of them a day. The payers that got assigned to me don't even have portals so I always have to call them. She didn't care when I told her this and instead told me to "find another way" to contact them. Like, what in the actual f*** is she talking about?
I feel like her expectations are too high and not realistic. And I don't see a future for myself at this company. Like I said, I've had other jobs where they have quotas and such, but not like at this company.
Is this normal? Am I overreacting?