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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.
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.
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 …
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.
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!
Cheryl Carr began her career in the healthcare industry over 23 years ago as an x-ray technician in an Urgent Care/Occupational Medicine facility. She earned a fast-track promotion into Regional Director of eleven medical practice sites in seven different states with a national occupational health provider.
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.
List of commonly used medical and financial acronyms and abbreviations.
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.
Janelle Frey has over 20 years of health care experience with an emphasis on physician coding, documentation, billing and practice management. Janelle has worked as a Hospital Coding Specialist, a Physician Services Operations Coordinator, and as a Billing and Insurance Director.
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.
The Coding Connection is an exclusive resource developed for all BDA clients with the primary purpose to provide you and your staff, with total access to timely and accurate information and recommendations to your coding questions, fees by geozip, etc..
You may contact us by any of the following:
Phone our office at 317.247.8014 with your question and you will be referred to your Regional Director (RD) …
Practice management software (PMS) is a category of software that deals with the day-to-day operations of a medical practice.
Terri Scales has over 18 years of health care experience with an emphasis on clinic management, coding and insurance billing, and State Specific Workers’ Compensation Regulation and Compliance. She is an experienced individual with a positive, results-oriented approach to documentation, coding, billing, and reimbursement.
Once BDA has performed the Complete Analysis of Current Documentation and Coding of your practice, we will implement a client-specific action plan for Education of Providers and Staff that will address your identified opportunites. This training is conducted one-on-one and in group settings, based upon your individual needs and direction.
We train your staff and coach your physicians for improved EM Documentation and Procedural Coding.
All …
We conduct a Preliminary Analysis of your existing documentation and coding processes.
We improve the accuracy of your practice’s revenue management program by updating four key components:
The Chargeticket / Superbill
The Chargemaster
The Fee Profile
Your Evaluation/Management (E/M) levels of service
We provide a simple request form that we call a Preliminary Analysis, which describes exactly what we require to perform your analysis. The review will address a variety of …
During the Preliminary Results presentation, your specific results will be discussed. E/M levels and overall CPT coding issues will be discussed.
Next: Execute Plan
Once you have engaged our services, we will present a Comprehensive Revenue System Review along with a Client Specific Results-Oriented Action Plan and Timeline. This may include:
Documentation Assistance in the areas of E/M and overall CPT coding
Targeted on-site training
Development/Provision of Forms and Templates (Superbills, EMR templates, etc.)
Annual Chargemaster and Fee Ticket Recommendations
Assessment of Current Reimbursement Issues through EOB and CMS 1500 Review
In addition, we will …
We are compensated via a net gain share formula for our services.
Perhaps one of the greatest differentiators that sets BDA apart from everyone else is our unique compensation system. When you engage our services, we literally become partners with you in a quest to help you and your staff reach the peak of efficiency in all of your documentation, coding, and billing processes. We are …
Since 1988, BDA has assisted successful physicians and providers in improved financial performance through increased accuracy.
BDA provides its clients with a detailed summary that identifies key coding issues such as invalid, deleted or revised codes and descriptive changes. A customized Action Plan is developed and implemented over the life of the engagement.
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Improve Revenue, Reduce Errors: BDA ClaimCorrect ®
BDA helps healthcare professionals increase their revenue capture by improving the accuracy of their clinical documentation, coding, billing, and reimbursement.
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.
© 2012 Bill Dunbar and Associates, LLC., all rights reserved. CDC/NCHS. CPT® is a registered trademark of the American Medical Association
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