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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 …
The New, Revised and Invalid ICD-9-CM codes take effect October 1, 2011. Each year, BDA provides tools to assist physicians and organizations with the ICD-9 code changes. We’ve put together a Power Point presentation that goes over these changes for you. Take advantage of these resources now so the ICD-9 changes will cause no delay in your payment for services.
We’ve created this ICD-9 Quick Reference Mouse Pad in response to Emergency Department coding professionals who want to maximize their speed and efficiency. Fill out the request form below to receive a BDA mouse pad and our newest 2010 ICD-9 Quick Reference Insert.
We’ve created this ICD-9 Quick Reference Mouse Pad in response to Emergency Department coding professionals who want to maximize their speed and efficiency. Fill out the request form below to receive a BDA mouse pad and our newest 2010 ICD-9 Quick Reference Insert.
A list of 10 Common Mistakes Managing Emergency Dept Reimbursement and Cash Flow, and what you can do to fix them
We’ve created these 2010 ICD-9 Reference Mouse Pads in response to coding professionals (and their teams) who want to maximize their speed and efficiency, while maintaining or even improving accuracy!
Now Available in 3-Packs for the Following Specialties:
Family Practice - Emergency Department - Occ. Health
Please complete the brief survey below and order the 3-pack of your choice.
The 9th common mistake that can impact reimbursement can occur when your provider does not know where he/she falls on a National E/M Benchmark Bell Curve.
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.
The 8th common mistake in managing cash flow is due to the lack of chart reviews / audits.
The 7th common mistake occurs as a result of your Fee Tickets / Superbills not being updated on a regular basis.
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 …
The 6th common mistake for revenue capture is relying solely on your EMR to capture the appropriate E/M Level.
Are you capturing your time based procedure / service codes?
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The 4th common mistake occurs when your documentation templates are no longer capturing all services appropriately.
A 3rd common mistake is the inconsistent interpretation of the point system by the staff. Once the point system is developed, it is imperative for all staff members to accurately and consistently interpret not only how the point system is being used, but also how it was intended to be used.
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 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.
List of commonly used medical and financial acronyms and abbreviations.
The #1 Most Common Mistake occurs when your staff believes that the Evaluation and Management [E/M] level billed by the ED Physician must be the same level as that billed by the hospital for the ED Facility.
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 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 ®
Since 1988, BDA has assisted successful physicians and providers in improved financial performance through increased accuracy.
BDA will conduct one-on-one and group sessions with your providers and support staff where we will emphasize the necessity of appropriate documentation needed to support Evaluation and Management (E/M) Services Coding, and overall medical coding. A variety of training tools are utilized for easy future reference.
© 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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