Correct Medical Billing and Coding in the Healthcare Industry
Correct Medical Billing and Coding in the Healthcare Industry Medical billing and coding is one of today's topics. When services are billed for patients, they must be coded based on the documentation the physician has dictated in the patients chart to receive payment from the insurance company. As the physicians office and/or hospitals practice correct medical billing and coding, this will prevent audits being brought forth in their practice and/or hospital.
Kenny, Christopher,Correct Coding for Dialysis Billing Providers must ensure proper coding to avoid returned claim, 2012.
This article is geared for those in the medical field who do coding and billing in hospitals for dialysis. The author is educating the coders and billers how to correctly code for dialysis billing. He mentions that The Centers for Medicare and Medicaid, issued a transmittal that has revised the Medicare claims processing manual as it pertains to hospitals billing for dialysis procedures that are non covered under the ESRD benefit for emergency dialysis. In addition, the author discusses how the hospitals should utilize Healthcare Common Procedure Coding System billing code G0275 and code 90935 for hemodialysis. Only to bill G0275, if the hospital is a ESRD facility, emergency services, and when dialysis is performed with related procedures, such as a vascular access procedures or when performed following treatment for an unrelated medical emergency. The author also continues to elaborate on procedure code 90935, in that, this code should be used for hospital inpatient, whether they have ESRD or not and has Part B coverage only. As the billers and coders take note of the correct coding, for dialysis and hemodialysis, they will receive a reimbursement for both procedure codes of $436.56, each time they are billed. This method of correct coding /billing for those who bill strictly for dialysis and hemodialysis,will generate their organization a wealth of
Kenny, Christopher,Correct Coding for Dialysis Billing Providers must ensure proper coding to avoid returned claim, 2012.
This article is geared for those in the medical field who do coding and billing in hospitals for dialysis. The author is educating the coders and billers how to correctly code for dialysis billing. He mentions that The Centers for Medicare and Medicaid, issued a transmittal that has revised the Medicare claims processing manual as it pertains to hospitals billing for dialysis procedures that are non covered under the ESRD benefit for emergency dialysis. In addition, the author discusses how the hospitals should utilize Healthcare Common Procedure Coding System billing code G0275 and code 90935 for hemodialysis. Only to bill G0275, if the hospital is a ESRD facility, emergency services, and when dialysis is performed with related procedures, such as a vascular access procedures or when performed following treatment for an unrelated medical emergency. The author also continues to elaborate on procedure code 90935, in that, this code should be used for hospital inpatient, whether they have ESRD or not and has Part B coverage only. As the billers and coders take note of the correct coding, for dialysis and hemodialysis, they will receive a reimbursement for both procedure codes of $436.56, each time they are billed. This method of correct coding /billing for those who bill strictly for dialysis and hemodialysis,will generate their organization a wealth of