tci Part B Insider - 2009 Issue 5

Part B Coding Coach: Affect Your Practice's Bottom Line With Nosebleed Repair Smarts

Coders often under-report their epistaxis claims. If you can't differentiate a complex anterior nosebleed repair from a simple one, you're costingyour ED nearly $20 per misidentified claim. Further, coders who cannot discern a reportable nosebleed repair encounter from an E/M will subject the practice to upcoding concerns. Check out these basics for each type of nosebleed repair to nail your coding each time. Consider E/M for Non-Active Nosebleeds If a patient reports to the ED with a nosebleed, and the physician stops the bleeding with basic methods, the coder usually chooses an E/M code,confirms Linda Martien, CPC, CPC-H...

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