tci Part B Insider - 2013 Issue 2

Part B Coding Coach: Multiple Fractures Could Prompt Higher Pay

Apply this sequencing advice to ethically maximize reimbursement. Not paying attention to work units for all the fractures that your surgeon is treating can turn these procedures into a cash sink hole. The solution? Ensure you are paid the highest value code at the highest percent of payment and keep in mind that codes submitted beyond the first may then be reimbursed at half of their values. Follow our expert advice on sequencing to ensure you’re collecting everything in your documentation. Grasp Hierarchy Fundamentals You’ll order your fracture codes using the RVU listing for the fracture codes...

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