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Healthcare Common Procedure Coding System
The Healthcare Common Procedure Coding System (HCPCS) is a set of health care procedure codes based on the American Medical Association’s Current Procedural Terminology (CPT). Commonly pronounced Hick-Picks.
The Healthcare Common Procedure Coding System (HCPCS) was established in 1978 to provide a standardized coding system for describing the specific items and services provided in the delivery of health care. Such coding is necessary for Medicare, Medicaid, …
Lack of ongoing education for all of your Providers and Staff
The 10th common mistake that will often affect revenue is an ongoing lack of education for all of your Providers and Staff. They should each receive focused instruction as a direct result of ongoing and consistent chart reviews.
Not conducting chart reviews on a regular and consistent basis
The 8th common mistake in managing cash flow is due to the lack of chart reviews / audits.
Not automatically updating your Fee Ticket/Superbill annually
The 7th common mistake occurs as a result of your Fee Tickets / Superbills not being updated on a regular basis.
ICD-9 Mouse Pad Reference
Finally, a helpful tool located right at your fingertips that is cool to look at and easy to use! This mouse pad is great for coding professionals in every Emergency Department, displaying the most commonly utilized Emergency Department ICD-9 Codes right next to your computer, saving you precious time.
The Mouse Pad at a Glance:
Codes are listed alphabetically and by sub-sections
Eliminates wasteful ‘look-up’ time during …
Procedure At The Time Of An Office or Post Operative Visit
Can my doctor bill a Mirena insertion fee when billing for an office visit or post operative visit or should they have the patient come back?
I want to be sure he gets paid.
Going Green: EMRs = Less Paper
One way the medical world can lead is through the development and implementation of an electronic medical record (EMR)/electronic health record (EHR), which can reduce costs and lower your carbon footprint.
New CPT Code Updates 2009
Looking for the 2010 New, Revised and Invalid ICD-9 codes taking effect October 1, 2009?Get them here.
The AMA recently released the 2009 CPT Code Updates which become effective Jan 1.
New CPT Code Updates 2009
Contains over 290 New Codes, as compared to just over 240 codes in 2008. There are 17 code additions to the E /M section, 36 additions to the Surgery section, …
Revised CPT Code Updates 2009
The AMA recently released the 2009 CPT Code Updates which become effective Jan 1.
Revised CPT Code Updates 2009
There are over 130 code revisions in this report. The Preventive Medicine Services area was given the additional wording of “appropriate immunization(s)” to the code sets 99381-99386 and 99387-99397.
Over 130 code revisions for 2009.
Most of the revisions occur in the Surgery Section under the sub-sections Repair …
New Category II and III Code Updates 2009
The AMA recently released the 2009 CPT Code Updates which become effective Jan 1.
New Category II and III Code Updates 2009
This report contains over 150 new Category ll Codes, which are supplemental tracking codes that can be used for performance measurements. In addition, there are 13 Category lll Codes that contain a temporary set of codes for emerging technologies, services, and procedures.
Over 150 New Category …
Deleted CPT Code Updates 2009
The AMA recently released the 2009 CPT Code Updates which become effective Jan 1.
There are over 90 codes that need to be deleted by Jan 1, 2009 in order for you to be compliant. Over 70% of the deleted codes occur in the following four sections: E/M, Surgery, Radiology, and Medicine.
Deleted CPT Code Updates 2009
Over 90 Deleted codes.
15 in the Evaluation and Management Section, 11 …
Failing to document the length of time used for your time based services
Are you capturing your time based procedure / service codes?
Iron Out Wrinkles in Your Laceration Repair Coding
Need to fine-tune your skills at reporting laceration treatment in the ED?
See if you can correctly code these three challenging scenarios and home in on your coding trouble spots.
Failing to evaluate and adjust your Point System on a systematic basis
The 2nd most common mistake is that the Facility Point System is not regularly evaluated to capture all services. A Point System would be a consistent methodology for assigning an ED Facility Level based on the work performed by the ED staff. An interesting fact is, that to this date, there are no national standards for assignment of hospital Facility Levels.
Pros and Cons to EMR
The Pros and Cons of EMR.. It seems that it was not too long ago when we were all told how new technologies like cell phones, voice mail, and email would make our lives less complicated!
Joyce Ralstin, CPC, CPC-I, CCS-P, PCS PMCC-Certified Instructor
As a Regional Director of Client Services with Bill Dunbar and Associates, (BDA), Joyce Ralstin has 25 years experience in the healthcare industry. Prior to joining BDA, Ms. Ralstin served as Billing and Coding Specialist for a large multi-specialty hospital organization employing over 200 physicians.
Health Insurance Portability and Accountability Act
The Health Insurance Portability and Accountability Act (HIPAA) was enacted by the U.S. Congress in 1996. According to the Centers for Medicare and Medicaid Services (CMS) website, Title I of HIPAA protects health insurance coverage for workers and their families when they change or lose their jobs. Title II of HIPAA, known as the Administrative Simplification (AS) provisions, requires the establishment of national standards for …
Medical Abbreviations and prefix/suffix medical terms
List of commonly used medical and financial acronyms and abbreviations.
ICD – International Classification of Diseases
The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. Every health condition can be assigned to a unique category and given a code, up to six characters long. Such categories can include a set of similar diseases.
Facility Coding- How Effective is Your Point System?
As there is currently no national standard for point systems, hospitals at this point are required to develop and follow their own system for assigning the ED levels. When you do this, be sure that there are written guidelines with criteria for coding each of the five levels of ED codes, as well as for critical care.
BDA shares its 20+ years experience of documentation and coding with its clients, which often results in increased revenue, improved compliance, and continued growth.
BDA provides its services to clients of varying medical specialties located throughout the United States. By comparing your revenue capture performance against the norm in your specialty, it can offer additional tools for improvement.
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Improve Revenue, Reduce Errors: BDA ClaimCorrect ®
Our Process
BDA provides ongoing education services to its clients including staff training, physician coaching, and coding support.
Related
- Revised 2012 ICD-9 Codes
- Failing to evaluate and adjust your Point System on a systematic basis
- E/M level billed by Physician the same as Facility
Recent Posts
- Revised 2012 ICD-9 Codes
- New 2012 ICD-9 Code Updates
- Invalid 2011 ICD-9 Updates
- Revised 2011 ICD-9 Updates
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BDA has provided consulting services in over forty states to providers of all types of multi-specialty practices, including occupational health providers, urgent care clinics, and ambulatory service centers.
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