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Are You Certain That Your Hospital Is Correctly Coding For Every Emergency Care Procedure And Service?
Comparing your hospital’s E/M distribution with CMS’ national distribution will help you assess the accuracy of your hospital’s E.D. visit code assignment. CMS has indicated that the distribution of E.D. E/M codes should reflect a normal bell curve.
In addition to the complex issues to documenting and coding E.D. E/M levels, there are complex coding rules surrounding the high volume Hydration, Injection and Infusion codes.
CPT Code
Description …
ICD -10
ICD-10—What Should You Be Doing Now to Prepare?
Your organization has tested and is now sending claims in the 5010 format. Now what? Though full implementation of ICD-10 is not until October, 2013, now is the time to prepare!
There are steps that can be taken now to prepare your organization for this transition.
o Select a project leader – It is important to have a project leader …
Compliance
Compliance Program Basics
What is a Compliance Program?
A formal compliance program /plan is a set of documents and activities designed to prevent, detect and correct compliance deficiencies (i.e. improper billing activity); and promote adherence tp applicable federal and state law and the program requirements of federal, state and private health plans.
Are you required by Law to Implement a compliance Plan?
Technically, you do not have to implement …
Why BDA? 10 Reasons
10 Benefits from partnering with Bill Dunbar and Associates
Maintaining Accuracy and Compliance in the Medical Record
Why is accuracy and compliance to accepted standards of documentation in the medical record important? The first and most important reason is to provide patients with appropriate care based on details provided in their medical record. This ensures optimal patient care and allows for excellent patient satisfaction. Another reason for ensuring accuracy and compliance in the medical record is to provide governmental agencies, and any other entity accessing the patient’s medical record accurate and complete information. With improved documentation, collections improve, the risk for unfavorable audit results decreases, and efficiencies are increased in the office with both staff and physician co-workers.
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 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 …
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.
Terri Scales, CPC, CCS-P
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.
About Bill Dunbar and Associates, LLC.
Bill Dunbar founded BDA in 1988. Bill is a former Indiana State Senator and has held positions as a senior executive with Blue Cross of Indiana, American Medical International Corporation, and Columbia HCA.
In 1999, David B. Dann joined Mr. Dunbar as a Member of the LLC. Mr. Dann has a Master in Health Care Administration from the Indiana University School of Medicine. He …
BDA helps healthcare professionals increase their revenue capture by improving the accuracy of their clinical documentation, coding, billing, and reimbursement.
BDA performs a preliminary analysis of each prospective client's practice by gathering a random sampling of three simple reports; this includes the Chargemaster, Chargeticket/Superbill, and the Fee Profile.
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Improve Revenue, Reduce Errors: BDA ClaimCorrect ®
Our Process
BDA shares its 20+ years experience of documentation and coding with its clients, which often results in increased revenue, improved compliance, and continued growth.
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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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