Hcr 220 Evaluating Compliance Strategies

Hcr 220 Evaluating Compliance Strategies - HCR220...

Info iconThis preview shows pages 1–3. Sign up to view the full content.

View Full Document Right Arrow Icon
HCR220 Evaluating Compliance Strategies
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
The strategies for compliance are outlined as carefully defining bundled codes and knowing global periods. This means that the coders and medical insurance specialist must be on the same page when dealing with individual procedures, bundled codes and global periods for surgical procedures. Benchmarking the practices E/M codes with national average compares the evaluation and management codes to what the medical facility actually reports. Using Modifiers in the appropriate way is always the best method for compliance success. Also being clear on professional courtesy and discounts to uninsured/low -income patients when the physician has chosen not to collect. This prevents the patient from being charged when the fees are not sought be the providing physician. And maintaining complaint job references aids and documentation templates or cheat sheets to make complicated task more efficiently carried out. The compliance process consists of a billing staff that submits prepared bills to insurance providers for procedures done in medical facilities. This staff is is required to use appropriately correct medical codings that are outlined as Current Procedural Terminology. This entails an explanation of each procedure and why that procedure was done. In doing so mistakes will be made and correction have to be applied. This involves a need for methods of evaluating compliance strategies to eliminate out the incorrect practices for the appropriate ones. Compliance is reached by insurance companies meeting with the actual medical and billing staffs to ensure that they are using up to date manuals for compliance. The manuals then have to be properly used when submitting procedures for payments to
Background image of page 2
Image of page 3
This is the end of the preview. Sign up to access the rest of the document.
  • Summer '11
  • inc
  • Current Procedural Terminology, medical insurance specialist, CPT procedure code, billing staff, appropriate CPT

{[ snackBarMessage ]}

Page1 / 5

Hcr 220 Evaluating Compliance Strategies - HCR220...

This preview shows document pages 1 - 3. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online