Skip to main content

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.
Labels:

Comments

Post a Comment

Popular posts from this blog

Accurate Healthcare Documentation – Key to Improved Revenues

According to the leading health information management professionals, accuracy in healthcaredocumentation and allied services is critical to the generation of revenues to the healthcare facilities. The reasoning given by them is that accurate healthcare documentation fosters the productivity of physicians which leads to increased revenues for the organization. The measures taken by healthcare documentationcompanies for accuracy in transcription should be followed right from the beginning. A template kind of thing should be given to the physicians so as to generate a complete patient chart. Following this method gives great results as the medical transcriptionists will be able to provide complete transcription reports with high-levels of accuracy when they have the full-fledged patient chart. The transcription reports that are generated quickly and accurately pave the way to the faster medical coding of procedures and processes and then the medical billers also have their inpu...
Post a Comment
Read more

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...
Post a Comment
Read more

Good Listening Skills Lead to Effective Communication - Avontix

Picture courtesy: toolshero.com T o engage in effective communication, one needs to listen properly and respond. We all know there’s a difference between hearing and listening. When a sound is sensed by the ears, hearing happens; this doesn’t require any special efforts. However, listening happens only when we consciously put efforts to understand the meaning of the words.This requires concentration on what others are saying. Listening by itself requires efforts, so one can understand that listening well requires much more efforts and concentration. To be able to mingle with others easily and actively participate in conversations, it is important that we listen well. Many people wrongly assume that if they are not talking much and letting others do the talking, they are good listeners. What happens in such cases is that they might be hearing to what others say rather than listening well. Listening is an art in itself that needs the practice to perfect. Here are some pointers...
Post a Comment
Read more