Coding and Billing (1).pptx - CODING AND BILLING RTT 461...

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CODING AND BILLING RTT 461
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THE PROCESS Patient registers at front desk/registration Insurance information is exchanged in order for the clinic to be paid for services
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CODES Codes exist for many different types of encounters Services Tests Treatments
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CODES Coding is the definition of an encounter between the healthcare professional and the patient Insurance companies need this information to know why the patient visited the doctor
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CODING IN RADIATION ONCOLOGY Diagnostic coding assigns a very specific code to a neoplasm The code depends on: Location Point of origin Therapy to be given
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TYPES OF CODES 2 types of codes exist for radiation oncology ICD-10 Patient diagnosis CPT Treatment specific
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WHY IS CODING IMPORTANT? YOU MUST HAVE THE CORRECT ICD-10 CODE BEFORE YOU CAN BILL!!!
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WHAT IS CHARGING? “Dropping” the charge into the billing system
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AUDIT Process by which a department ensures that the charges are correct You may be asked to check your billing each day at your facility before sending it off to the billing dept.
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EXAMPLES OF CHARGES Treatment Dosimetry Mask Wedge Physics Professional services
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ICD-10 CODES Diagnosis based codes Example: Shelley had brain cancer Code: C71
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CPT CODES Medical coding for services/procedures performed that are reported to physicians, health insurance companies, and accrediting agencies It is important that therapists understand these codes, as they will do the actual charging
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CPT CODES IN GENERAL Simple Intermediate Complex
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CPT CODES CPT Codes exist for any and all possible procedures! They are broken down and based on the complication of the procedure Example: Simulation procedure Simple simulation Intermediate simulation Complex simulation
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CPT CODES: RADIATION ONCOLOGY Biopsy Seeing physician Seeing nurse Laboratory tests Simulation Simulation treatment devices Physician duties in simulation Planning procedures 3D, IMRT, IGRT, SRS, SBRT Physician’s duties during planning Ordering for treatment plan Checking/approving plan, etc.
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  • Fall '19
  • Electron,  Therapy,  Physician duties

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