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Follow this step-by-step guide to coding and documentation compliance. It’s always better for a facility to find compliance issues before a government agency or payer does (who may respond by levying penalties and fines). Pre- or post-bill audits help facilities uncover minor concerns before they become major compliance issues, thereby promoting revenue integrity. Here’s how […]
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It’s well worth the investment to review nine areas in your revenue cycle where integrity may be at risk. Revenue integrity is ensuring all charges are captured appropriately, documented sufficiently, and paid correctly. Every organization — whether a private physician practice or a major academic medical center — needs a comprehensive revenue integrity plan. Federal […]
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My question is, If an outpatient hospital claim is billed with 4 units- Revenue Code 360 – CPT Code 49650. Is there documentation somewhere that says the 4 units are reflective of the charges under Revenue Code 360, NOT reflective to the CPT indicating 4 units of procedure code 49650?Michigan-based Trinity Health is replacing its current electronic health record (EHR) and revenue cycle management (RCM) platform while centralizing patient billing service centers, affecting hundreds of medical coders, billers, and others. The 22-state health system’s plan is to adopt Epic as a single EHR and RCM to standardize billing, share data, and cut costs. The […]
The post Trinity Health Centralizes EHR, Revenue Cycle appeared first on AAPC Knowledge Center.
Coding clean-up crew lays the groundwork to improve healthcare reimbursement through denial management. In large healthcare business offices, medical billers and coders are often in separate departments, with separate leadership. Although the medical billers are largely responsible for denial management, they often don’t have the necessary coding expertise required to properly work coding denials. This […]
The post Finding Revenue Cycle Inefficiencies Is a Team Effort appeared first on AAPC Knowledge Center.
Venipunctures are performed in various departments of the hospital. Medicare guidelines state that you are to report the charge with the revenue code for where you will be claiming those costs on the cost report. My question is……Do you have multiple charge codes for CPT 36415 in your chargemaster with the various rev codes (ex: 0450 in ER and 0300 in lab) or do you use 0300 for all of them?
Thank you!
When a CPT code is placed in conjunction with the revenue code, for example 43239, it is my understanding that the units billed with with the revenue 360 with the 43239 represents the number of times the 43239 procedure is performed. I was told by another person, that the number of units under a revenue code 360 with or without the CPT code represents the number or hours for the use of the operating room services. Would someone please advise?
I am looking for a reference/link to general revenue codes that are use in an ambulatory surgical center. The center is Out of Network as they do not currently hold any insurance contracts.
I would greatly appreciate it.
Kind regards,
T Napora