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How To Handle Hospital Coding Properly

By Angel Dudley


It will be helpful for the person to learn more about hospital coding. Getting the notes about treatment and such organized is an important task that one will have to be serious and meticulous. It will surely become easier for the person to complete the said task when there are tips available for them to use.

The best tips that the person can take advantage of are those made by experts. They will make sure to correct codings and even provide an optimal reimbursement process. They will instruct how to follow the right rules in this field. For the right pointers that both experts and amateurs can follow, here are some of them.

First, it is appropriate for people to document the weight, height, and blood pressure of the patient properly. By doing this, it will make it easier for the person to ensure a proper review for one's health history in the future. The documentation will show various changes with the patient's musculoskeletal system. It also shows what the said changes imply.

The codes that are to be used for the recording should be personally decided by the one in charge of the records. With this, it will not be easy for other people to contaminate one's records. They will not be downcoding or upcoding the said record. If it ever happens, it will result to skewed statistics and even loss of revenue. There is no one who will benefit from these results.

Some people might confuse referrals with consultations. Referrals mean that a transfer of care occurred. The referring physician is handing the problem to a new physician for further treatments. Consultation, on the other hand, means that the attending physician will provide evaluation and diagnosis of the patient's condition.

For every documentation, the coder should consider the modifiers one will have to use for it. This also means that the coder has to be familiar with the modifiers to avoid confusing one with the other. The modifiers have their own set up they describe. Determine what services the modifiers define.

There is the ABN too. This ABN, also known as advanced beneficiary notice, will be useful especially to Medicare patients. This is because the said notice will just signify that the patient agrees to provide payment for the medical care received when Medicare denies one's claims. The ABN lists the items that Medicare will pay for too.

The codes for an Incident To situation can only be used with Medicare. This is actually an elementary rule which will make a big difference in how each practices use their non-physician practitioners. With Medicare, the Incident To rule will require a physician to be present within the suite when a non-physician practitioner is treating the patient.

Private payers are common in the medical field too. Dealing with the private payers is actually easier, since there is less hassle to it compared to those relying on insurance. With this, the private payers will make it possible to have non-physician practitioners deal with their condition. It should be cited in hospital coding properly too.




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