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 ...
May 1st, 2012
With a trend moving toward hospital care, consider chargemaster basics. By Dorothy Steed, CPA, CPC-H, CPC-I, CEMC, CFPC, CPMA, CHCC, CPUM, CPUR, CPHM, CCS-P, ACS-OP, RCC, RMC As more physicians head under the hospital umbrella to furnish cost-effective care, opportunities are opening for coders in the facility environment. Your doctor may be considering a move ...
Mar 1st, 2011
Ensure billing staff members are diligent and adequately skilled in claims administration. By Dorothy Steed, CPC-H, CHCC, CPC-I, CEMC, CFPC, CPMA, CPUM, CPUR, CPHM, CCS-P, ACS-OP, RCC, RMC, PCS, FCS, CPAR The purpose of facility billing is to submit timely, clean claims to the payer; but the processes that go into filing in a facility ...
Apr 1st, 2008
By Vicki Fry, MS, MBA To simplify chargemaster maintenance let’s focus on three key issues in each hospital department: correct, complete, and compliant coding (aka the three Cs). Periodic chargemaster reviews systematically verify that the correct HCPCS Level II and CPT® codes are assigned to each line-item, they make sure the departments have a complete ...
Apr 1st, 2007
By Chris Fraizer, CPC, CPC-H, CPC-P Documentation no longer holds first place for claims rejection, according to the latest results of the Comprehensive Error Rate Testing (CERT) program of the Centers for Medicare and Medicaid Services (CMS). But the not so good news: Coding errors now hold that distinction (see accompanying table). “Coding errors are skyrocketing,” says Diana Lerro, BSN, RN, CPC-...