Code inpatient visits with confidence using Hospital Coding.
Nearly 20% of office visits to primary care physicians are undercoded and underbilled, representing thousands of dollars of lost revenue to most medical practices [Arch Fam Med. 2000;9:68-71]. Hospital visit coding is probably just as problematic!
Hospital Coding presents the complex medical documentation rules for E&M encounters in a clear, concise format. Information needed to document a patient encounter can be reviewed in just 2 screen taps on your iPhone or iPad. A quick review of this information will allow physicians, nurse practitioners, and physician assistants to code and bill for inpatient medical services with confidence.
Hospital Coding helps physicians understand medical documentation rules to ensure proper payment for the medical services actually delivered. Payment is dependent on proper documentation to support an insurance claim, and also reduces insurance audit risk.
The Medicare Recovery Audit Contractor (RAC) system plans to review 10-50 medical encounter notes every 45 days from every physician in the USA. Using this process, the Medicare RACs recovered $92 million in payments for medical services that were not supported by the medical documentation in 2010 [RAC 2010 FY Report to Congress].
Hospital Coding has the documentation rules you need to know to protect yourself and your practice from the RAC.
Hospital Coding is an excellent point of care reference for physicians, medical coding professionals, and physicians in training (medical students and residents).
Hospital Coding is also useful for anyone who wants to learn more about the complex health care system in the United States.
Hospital Coding is essential for physicians and other medical professionals who want to maximize reimbursement for work performed.
Hospital Coding includes rules related to Evaluation and Management services (often called E & M services or E / M services) such as clinic visits and hospital admission. These familiar medical services have complicated documentation requirements outlined in the “1997 Guidelines for Evaluation and Management Services” developed by the Center for Medicare and Medicaid Services.
Evaluation and Management Medical Services included are
* Initial Hospital Care (H&P)
* Hospital Follow Up
* Discharge services
* Observation services
* Critical Care Services
Each Medical Service detail view shows -
* Medical documentation requirements
* Work RVUs
Hospital E/M is a great app for...
Physicians
** Hospitalists
** Internal Medicine
** Family Medicine
** Intensivists
** Pulmonology/Critical Care
** Nephrology
** ID
** Cardiology
Physicians in training
** Medical students
** Residents
** Fellows
Images And Data Courtesy Of: Robert Robinson.
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