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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive > November, 2004 Vol. V, No. 11

Coding & Billing

Leaving Money on the Table?

Lolita M. Jones, RHIA, CCS

Lolita M. Jones, RHIA, CCS As I perform ASC coding audits across the country, I'm amazed at how much money surgery centers are leaving on the table simply because they fail to properly code their cases. As we review some common examples, keep in mind two rules: The higher the payment group, the higher the Medicare ASC payment. And the higher the relative value unit (RVU), the higher the Medicare fee-schedule payment.

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Categories: Code/Bill/Reimburse, ENT, GYN/Urology, Cosmetic Surgery, Podiatry
Keywords:
ASC; ASC Bunionectomy Documentation; ASC Cystourethroscopy Documentation; ASC Nasal/sinus; Akin; Assistant; Austin; Austin-Akin; CPT; CPT Assistant; Clear; Code; Documentation; Endoscopy CPT Code; LARGE; MEDIUM; Medicare; Medicare ASC; Nasal/sinus; Reimbursement; Report Code; SMALL; Source: CPT; Tumors; Unlike; abnormally; accomplish; add; additional; advancement; amazed; anatomic; and/or; angular; anterior; append; audits; bilateral; billing; bladder; blepharoplasty; blepharoptosis; bunion; bunionectomy; carrier; category; causing; centers; chevron; code; coding; combination; common; concentr... show all keywords
ASC; ASC Bunionectomy Documentation; ASC Cystourethroscopy Documentation; ASC Nasal/sinus; Akin; Assistant; Austin; Austin-Akin; CPT; CPT Assistant; Clear; Code; Documentation; Endoscopy CPT Code; LARGE; MEDIUM; Medicare; Medicare ASC; Nasal/sinus; Reimbursement; Report Code; SMALL; Source: CPT; Tumors; Unlike; abnormally; accomplish; add; additional; advancement; amazed; anatomic; and/or; angular; anterior; append; audits; bilateral; billing; bladder; blepharoplasty; blepharoptosis; bunion; bunionectomy; carrier; category; causing; centers; chevron; code; coding; combination; common; concentric; considered; correct; correction; cryosurgery; cumulative; cystoscopic; cystoscopically; deformities; depending; determine; discounted; distal; documentation; double; droop; due; edges; effectively; elevating; endoscopic; endoscopy; ethmoidectomy; excess; excessive; eyelid; fail; fat; fee-schedule; fold; fulgurate; fulguration; goal; greater; hallux; higher; higher-paying; includes; individually; involve; justify; large; larger; laser; lead; leaving; levator; measure; mechanically; medium; metatarsal; mind; modifier; money; multiple; muscle; nasal/sinus; normal; obscuring; operative; orbital; osteotomies; osteotomy; page; partial; patient; payer's; payers; paying; payment; percent; perform; performed; phalanx; portion; position; posterior; practice; procedure; properly; proximal; ptosis; rate; recessed; redundant; reimburse; relative; removal; remove; rendered; repair; report; represents; request; required; requires; resect; resection; resolution; result; review; service; simply; single; size/dimension; sizes; skin; strengthening; superior; surgery; sutured; table; tarsus; techniques; total; treatment; tumor; tumors; unilateral; unit; upper; upper-eyelid; valgus; visual; visual-defect; weight; weighting

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