Tip of the week: Follow these steps to ensure accurate coding
Medical Staff Leader Connection, March 18, 2010
Want to receive articles like this one in your inbox? Subscribe to Medical Staff Leader Connection!
Hospitalist program revenue depends on accurate coding. To ensure correct coding, hospitalist program managers should follow these tips:
- Attend educational sessions focused on coding and billing for the common services the program provides.
- Schedule routine auditing by peers or an internal auditor.
- Engage an independent outside source to review coding and billing practices every three to five years.
- Follow reviews with a plan for corrective action, education, and refunds to payers when appropriate. Educate hospitalists regarding areas that need improvement and engage the program in a corrective action process until it adequately improves.
- Familiarize yourself with effective ways to express medical necessity information in notes, dictation, and the electronic medical record.
- Avoid “cloned” documentation or information that is automatically brought forward from a previous note or encounter.
This week’s tip is from The Hospitalist Program Management Guide, Second Edition by Kenneth G. Simone, DO and Jeffrey R. Dichter, MD, FACP.
Want to receive articles like this one in your inbox? Subscribe to Medical Staff Leader Connection!
Related Products
-
The Medical Executive Committee Handbook, Third Edition
Updated to reflect the new 2007 Joint Commission standards, this best-selling resource offers practical tools and strategies...
-
Medical Staff Leaders' Practical Guide, Sixth Edition
Written by experienced medical staff leaders currently working in hospitals, The Medical Staff Leaders' Practical Guide...
-
Assessing the Competency of Low-Volume Practitioners:
The Joint Commission requires that hospitals verify physician competence using performance data. Yet organizations often...
-
The Final Verdict on MS.01.01.01:
The Joint Commission has finalized and communicated the changes to MS.01.01.01. This program will not restate what you...
-
Medical Staff Briefing
This monthly resource acts as a support system by providing time-saving tools, expert advice, and analyses to help you...
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- Capturing all necessary codes for IUD insertion and removal can be challenging
- News and briefs: Oklahoma Osteopathic Association against residency bill change
- QA:Coding multiple initial infusions
- OB services: Coding inside and outside of the package
- HIPAA Q&A: Level of encryption needed for email
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- New conflicts of interest create new challenges
- Q&A tackles coding questions about injections and infusions
- Joint Commission Center announces handoff communication solutions
- Inside best practice: Reduce patient falls with a stoplight
- Identify modifiable risk factors to prevent patient falls
- Hospitalist-surgeon comanagement has no effect on outcomes
- Catch up on what's new with injections and infusions
- Case Management Monthly, June 2012
- Searched