BC Advantage - 2015 Issue 10

Using Correct Coding To Increase Your Practices Revenue

I am shocked when I see providers that are reimbursed on a fee-for-service model that have not done the research to optimize their reimbursement on coding.C PT codes explain the what and ICD explain the why on a CMS1500 form. They are both vital in getting claims paid. Accuracy is vital for compliance and medical necessity. Sometimes there are several choices of CPT/HCPCS codes for the very same service. Each of those code selections will have a different revenue in the providers contract. Some may have no value attached. For a practice to be cost effective, you have...

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