REGULATE YOUR REVENUE CYCLE WITH THE GENERAL SURGERY CODING ALERTS

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Being a medical practitioner, surgeon, group practice or clinic, have you ever thought on the successful medical billing criteria to be followed? It is of utmost importance that the billing and coding agents should bill the sittings appropriately, should not miss deadlines as well as should notice appropriate follow-ups. All these, if not done properly, may have economic effect on your facilities. An efficient billing and coding agent can enhance both your income cycle as well as the cash flow by thoroughly following the billing and coding procedural features.

The resultant economic growth of a facility can be achieved by any billing and coding team if the Current Procedural Terminology codes and common HCPCS guidelines are appropriately followed. This would range from the patient demographics to coding the full services rendered. It should be noticed that the payments are entirely dependent on the information and codes correctly used by the billing team. Moreover, a the general surgery coding personnel should be well able to amplify the growth of your practice with timely guidance to resolve the challenges of general surgery coding updates to simplify the process of your claims.

The following General Surgery Coding alerts can help manage RCM regulation:

  • Capture the severity of rectal abscess with the K61 code set
  • Use specific codes for cholangitis (K83.0)—including changed combination codes
  • Use the new T81.4 series instead of old post-procedure infection codes
  • K35: Apply the newly developed code set for appendicitis
  • K82: Use the correct gall bladder code every time
  • N35: Urethral stricture codes made simpler
  • Avoid common errors in diagnosis documentation and surgery coding
  • Change your ICD-10 ways to maximize CDI efforts and satisfy MIPS
  • CPT 28820 – Amputation toe; metatarsophalangeal joint
  • CPT 60240 – Thyroidectomy total or complete
  • CPT 15271-15278 – Skin replacement surgery subsection
  • CPT 15777 – Bilateral breast procedures
  • CPT 37619 – ligation of inferior vena cava

Miscoding can be avoided with a parenthetical that was added to the CPT code with a suggestion to abstain from reporting 29581 along with codes for treatment of incompetent veins (36465, 36466, 36468, 36470, 36471, 36473, 36474, 36475, 36476, 36478, 36479, 36482, and 36483) for the same extremity.  Also, note that the code 29581 should not be reported for simply wrapping the lower extremity with elastic bandages.

It is going to be a Herculean task for the general surgery coders as there are more than 135 ICD-10-CM changes and 69+ CPT updates in 2019. There have to be cross over changes for eyelid neoplasm, post-procedural infection, appendicitis, FNA, allograft or replacement or removal of the permanent leadless pacemaker to specify a few.

All in all, a proper understanding of the code options and coding essentials is the most crucial factor to earn the expected revenue for your practice and these general surgery coding alerts definitely will aid to enhance the overall financial growth.

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