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Medical Billing

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Billergirlnyc:

--- Quote ---There's an UNFAIR advantage here since the ORIGINAL post was MODIFIED rather than a new post created to include the information left out (which was significant) of first post.

--- End quote ---

Thank you very much for saying this, Linda. Now others won't get to see what was originally posted since they've modified their original post.

PMRNC:
I NORMALLY completely skip over coding questions for this very reason, I probably shouldn't have commented to begin with. This is why I respect the heck out of coders because I def don't want their job. I have an EXTENSIVE coding background FROM the other side which is completely different. A lot of people want to know why I don't go and become a CPC.. that's why! LOL

As for the reason of the visit.. yeah I can't get why that would NOT be important. Just to point something out.. you can see how ONE word omitted or added can change an entire course of a post when dealing with coding. Billerglnyc picked up something in regards to the modifier 25 just from seeing the word "scheduled" which translated from this part of the post:
--- Quote --- Let me clarify my question by explaining the reason for the visit: a 40 year old female pt was seen for her annual checkup
--- End quote ---
    I'm not a coder so I wouldn't have picked that up..   But that's the point.. that's why the medical chart is what is supposed to be used to code. And also like Billergirlnyc said, the superbill and fee slip are NEVER a part of the patient's medical record.


--- Quote ---We normally get around 10-15 diagnoses codes checked off, 3-5 procedure codes checked off, and around 15 labs checked off - with the odd 3 or 4 immunization codes thrown in from time to time.  Only rarely in 17 years have any of these fee slips come to us with the procedure codes listed in the proper order and with the diagnosis codes pointed to the target procedure codes.  We get paid for knowing how to do that ourselves.
--- End quote ---
 

Now see, I only really deal with multiple diagnosis/procedure codes for my peds clients and in hospital physician visits but I have never worked off a coding fee slip that did not have EVERY single aspect of coding properly. If I took on a client where I saw that would be a problem, it wasn't difficult to revamp the fee slips to make the job easier for the physician. ULTIMATELY the physician is responsible and if I felt a client of mine was lacking that VERY important element .. then I suggest a CPC in the office or available as consultant. That is my real world. The clients fee slips do indeed have ordering cpt/diagnosis

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