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Category Archives: Business Process Outsourcing

Classifications with the Maximum Revisions

Codes have been reinstated and options are provided that are already available in ICD 9,but missing in ICD 10.Keep your practice ahead with our Expert Coding Audit. Our billing experts effectively respond to all the coding changes to help you enhance your billing.

CODE REVISED TITLE & PREVIOUS TITLE
H02.05 Trichiasis without entropion Trichiasis without entropian
C96.2 Malignant mast cell neoplasm Malignant mast cell tumor
I50.1 Left ventricular failure, unspecified Left ventricular failure
J15.6 Pneumonia due to other
Gram-negative bacteria Pneumonia due to other aerobic
Gram-negative bacteria
M33.0 Juvenile dermatomyositis Juvenile dermatopolymyositis
Q82.2 Congenital cutaneous mastocytosis Mastocytosis

Coding updates effective form 1st oct 2017

As proposed at the ICD-10 Coordination and Maintenance Committee for the upcoming October 1, 2017 implementation. As of August 9th, 2017, 419 codes were added, 273 codes were revised codes and 123 codes are being deleted. The coding changes will be effective from 1st of October 2017 to 30th September 2017.

ADDED CODES DESCRIPTION
A04.71 Enterocolitis due to Clostridium difficile, recurrent
C96.22 Mast cell sarcoma
D47.02 Systemic mastocytosis
E11.10 Type 2 diabetes mellitus with ketoacidosis without coma
F10.11 Alcohol abuse, in remission
I27.23 Pulmonary hypertension due to lung diseases and hypoxia

DETELED CODE DISCRIPTION
S06.1X7D Traumatic cerebral edema with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter
S06.1X7S Traumatic cerebral edema with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela
S63.131 Subluxation of proximal interphalangeal joint of right thumb
S63.134S Dislocation of proximal interphalangeal joint of right thumb, sequela
S63.146 Dislocation of distal interphalangeal joint of unspecified thumb
S63.145 Dislocation of distal interphalangeal joint of left thumb

Bristol Byte – Your Complete Workflow Management Software

Bristol prepares to launch its productivity and workflow management software “Bristol Byte”. Bristol Byte helps you streamline the workflow of complex projects and makes them simple for your team. Allows automation of routine processes and simplify internal operations with extended monitoring and reporting. Bristol Byte is our solution to continuous monitoring and accurate tracking requirements. Bristol Byte is your online tool to

* Bristol Byte tracks and maintains an audit trail of all your workflow processes
* Productivity and Quality Tracking
* Ticketing and Queries control
* Transparent Process Performance on a Dashboard
* Role-Based Access Control
* Responsibility Assignment and Analysis
* Set Data and AR Metrics for Clients, Staff and Vendors
* Increased Productivity and Revenues
* Tracks User Performance and Quality
* Visual Reports – Assisting to make informed Management Decisions
* Approvals, Reviews and Acceptance capabilities are enabled within projects
* Cloud Based Technology

Update On Moderate Sedation Coding

For 2017, the AMA revised the codes and coding rules for moderate (conscious) sedation. In prior years, moderate sedation was bundled to with nearly 450 CPT® codes. Now, moderate sedation always is reported and paid separately, when medically necessary and properly documented.
99155 Moderate sedation services provided by a physician or other qualified healthcare professional other than the physician or other qualified healthcare professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age 99156 … initial 15 minutes of intraservice time, patient age 5 years or older 99157 … each additional 15 minutes intraservice time (List separately in addition to code for primary service)
In these cases, the provider performing the moderate sedation (not the provider performing the primary procedure) will bill for the moderate sedation. No independent observer is necessary to monitor the patient. When the same provider performs the primary procedure and the moderate sedation, the appropriate codes are:
99151 Moderate sedation services provided by the same physician or other qualified healthcare professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age 99152 …initial 15 minutes of intraservice time, patient age 5 years or older 99153 … each additional 15 minutes intraservice time (list separately in addition to code for primary service)

Updated Prior Authorization Rules for DMEPOS

The Centers for Medicare and Medicaid Services (CMS) have released an update to the prior authorization process for certain durable medical equipment, prosthetic, orthotics, and supplies (DMEPOS) items.
As originally announced in the Federal Register, published on December 21, 2016, CMS is preparing for the nationwide expansion of the prior authorization process for the first two items of durable medical equipment to be subject to required prior authorization beginning on July 17, 2017:
K0856: Power wheelchair, group 3 std., single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0861: Power wheelchair, group 3 std., multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Suppliers or beneficiaries submitting the first claims in the series for these items must receive prior authorization before the item is furnished or a claim is submitted, as a condition for payment. Durable medical equipment Medicare administrative contractors (DME MACs) began accepting prior authorization requests for this expansion July 3, 2017.

Are you being paid for every charge you are entitled to?

Bristol Healthcare Billing service offers you customized billing solutions for your specialty. We start by reviewing your current billing procedures for any missing billable charges and then create a system tailored to fit your needs. Customizing our industry proven solutions to your specific practice requirements sets us apart from our competitors.

Revenue delayed is revenue unearned, that is why Bristol Billing service is committed to providing the most reliable and efficient billing service in the industry.

      Our staff
      Certified
      Highly trained
      Kept up to date on changes

Put our experience to work for you
The costs of running your own billing operation can add up. When you partner with Bristol Healthcare services, you will have access to our professional staff and knowledge base. Outsourcing your medical billing to Bristol allows you to eliminate hidden costs and concentrate on production while someone else concentrates on collection. Practices that outsource their billing to Bristol has stated that they have saved 40% and over the cost of handling their billing internally.