In Billing
Jul 13th, 2018
There are times when a physician will be performing both covered and non-covered procedures at the same operative session. For example, the surgeon may be performing a septoplasty for a deviated septum (J34.2) and nasal obstruction (J34.89), which is a covered service. The patient wants to have a cosmetic rhinoplasty performed at the same time. ...
In Coding
Jun 6th, 2018
Don’t let procedural coding intimidate you; it may turn out to be your preferred code set. I admit it: I was very intimidated at the thought of using a procedural coding system (PCS), at first. Prior to Oct. 1, 2015, I coded inpatient procedures using ICD-9-CM Volume 3 codes, which were three to four numeric ...
In CMS
Sep 8th, 2016
Until the implementation of ICD-10, documentation improvement was seen as an inpatient process. Hospitals were keenly aware that imprecise or nonspecific clinical documentation could result in coding accounts that group to lower DRGs; and thus, less reimbursement. So, the Clinical Documentation Specialist role has become vital to ensure that the documentation in the medical record accurately ...
Jan 16th, 2013
Maintaining a strong bottom line is key to a successful business. The complexities found running a medical practice today make maintaining a strong bottom line an overwhelming challenge. Here are six fundamental steps to achieving financial success. Maintain productivity – The most important part of achieving financial success in a clinic is a provider team ...
The basics of ambulatory surgery center (ASC) coding and billing aren’t hard to master, but they do differ from physician and facility requirements. The following overview will help you know what’s most important in the ASC setting. Definition of ASC To understand correct coding and billing for an ASC, you must first understand what an ...