PPT-Transplant Symposium: Hot Topics in Coding and Billing

Julie Appleton CCSP CPC CPCH FCS PCS The materials utilized in this presentation are intended solely for use in conjunction with todays seminar Although great efforts have been taken in the preparation of todays material the speakers nor their employers assume responsibility for errors or omissions or for damages resulting from the use of the information contained therein . Visit Charges & Compliant Billing. OT 232. 1. OT 232 Ch 7 lecture 1. Compliant Billing. C0mpliance?. Actions that satisfy official guidelines & requirements. Correct claims report the connection between a billed service & diagnosis. December 2016. Grade for Patient Billing and Collections at CHCs. D-. . Why so Hard???????????. The complex nature of services to be billed; . The complex specifications for . CHC billing; . The number of employees that contribute to the process; . Hot Topics in Coding and Billing. Julie Appleton, CCS-P, CPC, CPC-H, FCS, PCS. The materials utilized in this presentation are intended solely for use in conjunction with today’s seminar. . Although great efforts have been taken in the preparation of today’s material, the speakers, nor their employers assume responsibility for errors or omissions or for damages resulting from the use of the information contained therein. . The Real Cost of Claims. Potential Penalties with the False Claims Act. Agenda . The Federal False Claims Act (FCA) imposes liability on any “person” who knowingly submits a false claim to the government for payment or who “conspires” to submit a false claim for payment.. Module 2: The Medical Billing Process. Disclaimer. This learning community is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under Grant U69HA30790 (National Training and Technical Assistance, total award $875,000). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government.. The medical insurance of the billers is tasked with the coding of the patient’s diagnosis with the request for the payments from the respective insurance company. There are experienced Physician Billing Companies specialists who are designated to offer these services to make the process easy for the patients and their families. To know more visit us at: https://www.medrev.co/ Presented by:. NC DHHS/DPH Administrative & Financial Consultants. How Can We Increase our Revenue?. Client Education. Establish Expectations for Payment. Explain the Need for Payment. Develop a Payment Plan. A Davis\'s Notes book!This handy, pocket-sized reference, in the Davis\'s Notes format, demystifies the complexities and nuances of medical coding and billing. For claims with dates of service on or after January 1, 2002 , §104 of the Benefits Improvement and Protection Act (BIPA) 2000, provides for payment of all mammography tests (including screening mam Medical billing is the process of submitting claims to insurance companies for reimbursement of the services you provide to your patients. It can be a complex and time-consuming process, but it\'s important to get it right. If you don\'t bill correctly, you could end up losing money. Many healthcare providers have chosen to keep medical coding and billing in-house. From HIPAA compliance to the complexity of ICD-10 codes, it has just been easier to keep track of things by not outsourcing medical billing or coding. Visit: https://www.findacode.com/index.html program review. Program Review members:. Dawn Wheaton, program coordinator. Kathy Hudson, Chair Ambulatory services. Solanyi. Muñoz, academic advising. What is Medical Coding and medical billing? . Beth Burgess, MHA, RHIA, CCS. Documentation of Complications of Care. . Official Coding Guidelines. Section I.B.16. “Code assignment is based on the provider's documentation of the relationship between the condition and the care or procedure, unless otherwise instructed by the classification. The guideline extends to any complications of care, regardless of the chapter the code is located in. . . CODING & BILLING AUDITS:. . Why They Happen. How to Prevent Them. How to Survive Them. Healthcare Audits & Investigations. DME. MEDIC. SMRC. UPIC. DME. MEDIC. SMRC. UPIC. Healthcare Audits & Investigations.