Coding Wound Care to Get Full Reimbursement -Avontix

Medical coding is one interesting profession that takes you through all kinds of diseases and health ailments. If you are in medical coding jobs you get to code various health issues of patients ranging from regular illnesses to life-threatening diseases. One among those many health issues that have to be coded is wound management. Wound care includes management of all kinds of wounds including complicated conditions and other related issues like ulcers and sepsis. Wound care is also an important part of medical coding because it is a major contributor to the reimbursed incomes of the healthcare facilities. Hence, it requires proper and systematic review of the wound record, other ailments that impact the wound management like diabetes and any other prevailing infection, the procedures adopted and its progress. Here we shall take a look at some of the rules that help in proper coding and reimbursements.

Modifier 25: Whenever there is a specific need for separate physician evaluation and management (E/M) more than the normal physician work, it is additionally billable. In such cases, the code that tells that the provider should be paid for both the services is modifier -25. This should be appropriately used and cases of wound management the people in medical coding jobs should be attentive and careful while using selective and non-selective debridement. It should be noted that in case of multiple layers, coding must be done for the deepest level of debridement and wound dressing has to be coded separately and not with E/M services.

NCD and LCD: It is absolutely necessary for all professionals in medical coding jobs and medical billing jobs to be aware of the National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs) that provide rules for the coverage of wound care that are vital for prompt reimbursements.

Coding is an important aspect for a healthcare provider to generate accurate bills and receive proper and full payments. Join Avontix, the best medical coding company in Hyderabad, to gain excellent experience and expertise in the field.

Comments

Rules and Regulations that Govern Healthcare Documentation -Avontix

Picture courtesy: Google Images Healthcare documentation as the name suggests deals with the documentation of healthcare procedures and treatments provided to a patient. As a way to minimize the workload of physicians in documenting their processes in providing healthcare to patients, healthcare documentation plays a critical role in the healthcare industry and gives the physicians much-needed extra time to spend on looking at a more number patients. For the people in healthcare documentation jobs, it is not just sufficient to master the English language skills and medical terminology to be able to do their work efficiently. There are certain points related to the federal rules and regulations that are to be taken care of while transcribing the data accurately within the set time limits. Professional healthcare documentation specialists are expected to be aware of these legal requirements and act accordingly. Confidentiality of patient information: Medical details of a...

Patient Access and its Link to Increased Revenue -Avontix

Picture courtesy: patient.info For a health organization to enjoy a good financial position, its revenue cycle management should be efficient enough to bring in timely payments for the claims submitted and collect the amount due from patients. When either the claims submitted are denied or patients are not paying their dues, it results in unpaid collections and bad debts for the healthcare provider. One of the ways to reduce revenue losses is having smart patient access. By providing smart patient access, healthcare facilities can see reduced claim denials and improve their revenue cycle management performance. To be able to do this, the RCM services professionals have to collect all the necessary information at the registration process itself. Usually, patients feel that all the work related to registration process is time-consuming and unnecessarily delays the diagnosis and treatment procedure. However, hospital registration process is very critical to colle...

Role of Proofreading in Healthcare Documentation -Avontix

Picture courtesy: careeraddict.com M edical transcription or healthcare documentation deals with the documentation of voice files which is prone to many errors due to the kind of work it involves. Healthcare documentation specialists have to listen to various physicians’ voice files with different accents and document them in a prescribed format. Often there are issues with the voice files regarding the background noises, the clarity in the physician’s speech etc. that give a challenge to the medical transcriptionist. Moreover, many people in healthcare documentation jobs work remotely without any immediate supervisor to rectify errors if there are any. This kind of work needs that the medical transcriptionist is independent, self-motivated and responsible towards the work being done. Being an indispensable part of the healthcare industry, the healthcare documentation specialists take pride in their jobs and work relentlessly for the accuracy and comprehensiveness of the docume...

Search This Blog