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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 > October, 2008 Vol. IX, No. 10

Coding & Billing

Improper Coding's Impact on Your Bottom Line

Lolita Jones, RHIA, CCS

I recently completed an extensive audit of three ASCs, each affiliated with a major hospital corporation. While the physician documentation in the 250-plus operative reports we reviewed was fairly comprehensive, we uncovered several coding errors across all specialties that would have lead to both overpayments and underpayments.

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Categories: Code/Bill/Reimburse
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1. Excision of lesion with advancement flap closure; 2. Arthroscopic Mumford and post-op pain nerve block; 3. Metatarsal exostectomies; 4. Bronchosopy with Brushing and BAL; 5. Full-thickness skin graft; 6. Tympanoplasty for tympanic membrane perforation; 7. Tissue expander replacement with breast implants; 8. Decompression fasciotomy with debridement; 9. Bilateral orchidopexy; 10. Hammertoe repair via interphalangeal fusion; 11. AlloDerm application; 12. Extraocular scarring during strabismus surgery; 13. Loop Electrode Excision Procedure (LEEP); APC; Add; Add-on; AlloDerm; American Medical A... show all keywords
1. Excision of lesion with advancement flap closure; 2. Arthroscopic Mumford and post-op pain nerve block; 3. Metatarsal exostectomies; 4. Bronchosopy with Brushing and BAL; 5. Full-thickness skin graft; 6. Tympanoplasty for tympanic membrane perforation; 7. Tissue expander replacement with breast implants; 8. Decompression fasciotomy with debridement; 9. Bilateral orchidopexy; 10. Hammertoe repair via interphalangeal fusion; 11. AlloDerm application; 12. Extraocular scarring during strabismus surgery; 13. Loop Electrode Excision Procedure (LEEP); APC; Add; Add-on; AlloDerm; American Medical Association's; Arthroscopic Mumford; Assign; Assistant; Association's; BAL; BAL Code; Bilateral; Bronchosopy; Brushing; CPT; CPT Assistant; Code; Correct. APC; Correct. Add; Correct. Delete; Decompression; Delete; Electrode Excision Procedure; Excision; Excision Procedure; Extraocular; Fasciotomy; Full-thickness; Graves; Hallux; Hammertoe; July; Loop Electrode Excision Procedure; March; Medical Association's; Metatarsal; Mumford; October; Procedure; Report; Tissue; Tympanoplasty; add; addition; adjacent; advanced; advancement; affiliated; alveolar; and/or; anesthetic; anterior; apply; approach; area; articular; assign; atticotomy; audit; bilateral; body; bone; bony; book; breast; bronchial; bronchus; brushed; brushing; burn; case; cephalad; cervix; chain; children; circumferentially; claviculectomy; closure; cm; code; coding; colposcopy; compartments; complete; complex; contralateral; control; coverage; creation; cuff; debridement; deep; defect; dermal; describe; detachment; dilation; direct; distal; documentation; documents; donor; dysthyroid; ear; edges; electrode; elevated; errors; excellent; excised; excision; excisional; exostosis; expander; extensive; extraocular; fairly; fascia; fasciotomy; finger; fish-like; fistula; fixation; flap; floor; fluoroscopic; foot; freshen; full; full-thickness; fusion; graft; great; hammertoe; hand; harvested; hospital; identified; implant; including; infants; initial; intended; internal; interphalangeal; involved; joint; laid; lateral; lead; left; leg; length; lesion; loop; lower; major; malignant; mammary; mastoidectomy; measured; membrane; mesh; metatarsal; middle; modifier; multiple; muscle; muscles; myopathy; necrotic; nerve; nonviable; note; ocular; open; opening; operative; ossicular; osteomyelitis; overpayments; pain; paper; parenthetical; partial; patch; patient; pelvic; perforated; perforation; performed; permanent; physician; placement; portion; post-op; post-operative; posterior; preparation; primary; prior; procedure; procedures; proceeded; prosthesis; prosthetic; protected; rearrangement; recently; recession; recipient; rectal; rectovaginal; removal; removed; repair; replacement; report; reported; reports; resected; resection; restrictions; restrictive; retinal; reviewed; rigid; rotator; saline; scarring; scrotal; secondary; separately; silicone; single; site; skin; slit; space; specialties; sq; strabismus; subcutaneous; subsequently; suprascapular; surface; surgery; talus; tarsal; technique; temporalis; text; thickness; thigh; tissue; torsion; total; transfer; transfer/advancement; tympanic; tympanomeatal; tympanoplasty; uncovered; underlay; undermined; underneath; upper; upper/adjacent; vaginal; valgus; vertical; wound; –

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