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How To Handle Hospital Coding Properly

By Angel Dudley


It will be helpful for the person to learn more about hospital coding. Getting the notes about treatment and such organized is an important task that one will have to be serious and meticulous. It will surely become easier for the person to complete the said task when there are tips available for them to use.

There are certainly different tips available for people to use these days. It is only natural to take advantage of these tips, no matter if the one in charge is an expert or not. These instructions will make it possible to learn about the proper rules for the said task. Here are some of the pointers that people can use.

First of all, it is only appropriate to document blood pressure, weight, and height. By doing this, the person can review a portion of one's health history. It will also become easier for the person to see what the changes in one's musculoskeletal system and blood pressure are. Of course, it also allows the person to determine what these changes signify.

The codes that are to be used for the recording should be personally decided by the one in charge of the records. With this, it will not be easy for other people to contaminate one's records. They will not be downcoding or upcoding the said record. If it ever happens, it will result to skewed statistics and even loss of revenue. There is no one who will benefit from these results.

Some people might confuse referrals with consultations. Referrals mean that a transfer of care occurred. The referring physician is handing the problem to a new physician for further treatments. Consultation, on the other hand, means that the attending physician will provide evaluation and diagnosis of the patient's condition.

For every documentation, the coder should consider the modifiers one will have to use for it. This also means that the coder has to be familiar with the modifiers to avoid confusing one with the other. The modifiers have their own set up they describe. Determine what services the modifiers define.

There is the ABN too. This ABN, also known as advanced beneficiary notice, will be useful especially to Medicare patients. This is because the said notice will just signify that the patient agrees to provide payment for the medical care received when Medicare denies one's claims. The ABN lists the items that Medicare will pay for too.

There is an Incident To implication in the records for the patients. It is particularly used when the patients use Medicare. This is the category meant for defining the practices of the non-physician practitioners. It will need to be cited in the records that a non-physician practitioner helps a lot in the treatment planned for the patients.

It will be a different matter with the private payers though. While many allow the non-physician practitioners to treat them, there are those who only limit the interaction of the said practitioners to supervision tasks. Such situations should also be cited in the hospital coding appropriately.




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