Health Information Management

Pay-Per-View: Build a base for comprehensive review of procedure data

APCs Insider, July 9, 2010

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The technical nature of the CPT coding system can be very challenging for coding specialists, and even more challenging for HIM professionals performing coding compliance and data quality reviews of outpatient medical records. However, HIM professionals can use several edits, based on official resources, to target, analyze, and support their outpatient coding reviews.

During this time of continued growth in outpatient surgery, the importance of accurate and comprehensive outpatient procedure data cannot be stressed enough. Since July 1, 1987, CMS has required hospitals to use the AMA’s CPT coding system to report outpatient procedures rendered to Medicare patients in all hospital outpatient settings (e.g., ambulatory surgery units, emergency rooms, clinics).

Continue reading “Build a base for comprehensive review of procedure data” on the HCPro website. Briefings on APCs subscribers have free access to the article in their July issue.



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