Occupational Health Facilities: A State-By-State Case

Coding and billing guidelines for Occupational Health facilities vary from state to state. Knowing the ins and outs of these guidelines is essential to receiving the reimbursement you’ve earned, as well as addressing the appeals process for denied claims.

BDA’s in-depth knowledge of Workers’ Compensation laws, CPT coding guidelines, ICD-9 coding guidelines, and Evaluation and Management guidelines can help ensure accurate reimbursement and support your appeals process.

Occupational Health Facilities Overview (PDF) Request a Free Preliminary Analysis (PDF)

Urgent Care Clinics: Medicine in the Fast Lane

No two days are alike in an Urgent Care clinic. But one thing is consistent – it’s a demanding and complex healthcare setting. Selecting and documenting the correct Evaluation and Management (E/M) level is often difficult. If your documentation doesn’t support the level of service billed, you risk denial of reimbursement.

BDA can help Urgent Care staff to truly understand all the components of the E/M guidelines and how they apply to both new and established patients. This clarity can help you get the reimbursement you’ve earned.

Urgent Care Clinics Overview (PDF) Request a Free Preliminary Analysis (PDF)

Bonnie Dhaenens, CPC, Coding Analyst

Bonnie Dhaenens, a member of BDA’s analyst team, has more than 25 years of customer support experience. She is an honors graduate of MedTech College with an Associate degree in Medical Billing and Coding and has a Bachelor’s degree from Purdue University. Her responsibilities include reviewing client charts, validating client billing and coding forms, creating BDA training tools, and coordinating customer support for BDA ClaimCorrect®.

Four Tips for Becoming Audit-ready

Preparing for a RAC (Recovery Audit Contractor) audit should begin before an auditor ever knocks on your door. What’s more, not being ready can cost you. RAC auditors identified and collected nearly $400 million in overpayments during the first quarter of fiscal 2012, according to a recent CMS (Centers for Medicare & Medicaid Services) report. That’s the largest amount of improper payments recovered in a quarter since the RAC program began. Hospitals appealed about one-third of overpayment determinations, but 73 percent of the appeals were overturned, notes AHA News.

Here are four tips to help your organization prepare for an audit and a successful appeal.

Secure documentation with Evaluation and Management (E/M) educational sessions. Ensure that each patient’s chart documentation is appropriate to the billed service. The physician may report E/M services based on one of the two sets of CMS E/M coding guidelines (one set …

Our Services

Here’s a small sampling of some of the specific services we offer:

Annual coding updates Benchmark analysis Chargemaster reviews Development of Evaluation and Management (E/M) Policy manuals Educational tools for front-office protocols Education (group or 1:1) and coaching on coding, E/M Guidelines and CPT/HCPCS/ICD-9 updates Fee analyses ICD10 education and preparation On-site practice analysis Reviews of coding templates Reviews of Superbills/Charge sheets Support for RAC Appeals Process

How We Work

Our team approach

When you work with BDA, our team is your team. We won’t just deliver a binder, spend a few days with your staff, and then walk away. Instead, you’re partnered with an experienced Regional Director and staff who will work with you to provide the services you need. These may include hands-on support, staff training, physician coaching, and more. Our goal is to give you responsive, results-focused support … for the long haul.

Getting started: Our Preliminary Analysis

Our experience with hundreds of clients over two decades has taught us to keep things simple when it comes to determining how – and whether – our services might be a good fit for you. The BDA Preliminary Analysis, or Prelim, is our simple tool to assess that fit.

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