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Coding Fracture Care in an RHC Family Practice

cnramsey

Guru
Messages
210
Location
Priest River, ID
Best answers
0
Hello,

I'm a coder in the state of WA for an RHC facility. It has been brought up that we may want to think about unbundling our fracture codes for our Medicaid and Medicare patients. Does anyone else do this and what is procedures? What about the difference in RVU's for the doctors? If this is your policy also how do you code your self pay patients? Any advice more than welcomed!

Thanks,
Nichole
 

Orthocoderpgu

True Blue
Messages
1,089
Location
Salt Lake City, UT
Best answers
1
Hello,

I'm a coder in the state of WA for an RHC facility. It has been brought up that we may want to think about unbundling our fracture codes for our Medicaid and Medicare patients.

Thanks,
Nichole
I'm not sure what you are asking. Are you considering billing office visits rather than fracture care?
 

cnramsey

Guru
Messages
210
Location
Priest River, ID
Best answers
0
I'm not sure what you are asking. Are you considering billing office visits rather than fracture care?
We currently bill fracture care codes. But our billing department is questioning if we should be billing them as an office visit for our RHC encounter rates for our Medicaid and MDCR patients.
 

Orthocoderpgu

True Blue
Messages
1,089
Location
Salt Lake City, UT
Best answers
1
Strictly speaking, it's the physicians decision. The physician who is treating the fracture needs to make and document that decision. I'm not familiar with Rural Health and how that comes into play here.
 
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