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Category Archives: Coding Audit

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

Be prepared for radiology coding changes in 2017

Get ahead the changes of radiology-specific in 2017. Mammography codes are overhauled and summarized.

Changes in Mammography Codes 2017

New Codes Description Deleted Code
77065 Diagnostic mammography, including CAD when Performed; unilateral 77055 / 77051
77066 Diagnostic mammography, including CAD when performed; bilateral 77056 / 77051
77067 Screening mammography, bilateral (2-view study of each breast), including CAD when performed 77057 / 77052

 

Bristol healthcare service streamlined ICD-10 well before 10/01/2016

October 1, 2016 is marked as end of a one year that allowed by the center for Medicare and Medicaid services (CMS) and the American medical association.  The grace period was a joint initiative created between CMS and AMA to help ease the transition from ICD-9 to ICD-10 for physician practices.

Our team of certified coders efficiently managed to transit from ICD-9 to ICD-10 well before the stipulated dated.  Initially we struggled with cardiology coding in E and G codes but very soon managed to submit corrected claims.

To keep you posted

The end of this transitional period could be a tough one if your coding professionals neglect to prepare for it.

The transition to the ICD -10 and Related Health Problems appears to have gone well so far, despite widespread anxiety that it would wreak mess across healthcare as providers struggled to comply with the new coding structure, heightened specificity and documentation requirements.  Nevertheless, physicians still face significant obstacles in two main areas as the ICD-10 transition continues.  According to a recent survey, it is not yet clear how much of the ICD-10 implementation’s success so far stems from the first-year concessions for providers negotiated by the AMA in collaboration with the CMS.  This elasticity allow coders to be reimbursed for wrongly coded claims as long as the erroneous code submitted is in the same wide family as the correct one.  Coders make sure your providers will no longer be reimbursed for these wrongly coded claims when the grace period ends on September 30, 2016.

Feel free to contact us to find- How we managed to implement ICD-10 well before the grace period.

Determine what new evolving technologies may or may not be coded in 2016.

CPT Category III codes mostly do not have a customary payment amount per CPT guidelines, however, if a Category III code is available, you must report it instead of a Category I unlisted procedure code.

Find below Category III code changes for 2016.

0381T External heart rate and 3-axis accelerometer data recording up to 14 days

0382T review and interpretation only

0383T External heart rate and 3-axis accelerometer data recording from 15 to 30 days

0384T review and interpretation only

0385T External heart rate and 3-axis accelerometer data recording more than 30 days

0386T review and interpretation only

Leadless Pacemakers

There are five new codes to describe services related to permanent leadless pacemakers:

0387T Transcatheter insertion or replacement of permanent leadless pacemaker, ventricular

0388T Transcatheter removal of permanent leadless pacemaker, ventricular

0389T Programming device evaluation in person with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report, leadless pacemaker system

0390T Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure or test with analysis, review and report, leadless pacemaker system

0391T Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter, leadless pacemaker system

CPT® Changes 2016 advises, “Existing CPT codes only addressed procedures for traditional pacemaker systems and did not adequately describe the procedure of implanting a leadless pacemaker. Therefore, these codes have been established to report leadless and pocketless system procedures.”

Esophageal Sphincter Augmentation

Esophageal sphincter augmentation is performed for treatment of gastoesophageal reflux disease (GERD). The device employs magnets, placed around the gastroesophageal junction. The attraction of opposing magnets narrows the opening, but allows food to pass when the patient swallows.

0392T Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band)

0393T Removal of esophageal sphincter augmentation device

Bring together your team for a successful contract negotiation.

Our Credentialing specialist team lead by Mr. Albert Marvin successfully implemented and negotiated contract for a Neurology physician this April, 2016.

Very recently we introduced ancillary healthcare services to encourage our clients utilizing Credentialing and Contracting services at no extra cost.  We know “Nothing fits the same for all”. Also, we recommend our physicians to demand their annual report card that lets physicians know how they stand with their peers.

All Healthcare Payers GOAL is to place physician’s front and center in the mission to improve the health of their members, and LOWER OVERALL HEALTHCARE COSTS.

Physicians/Practice Managers are you sure you are getting the best rate available for your healthcare services?

Your practice future depends on effectively negotiating with your private payer plans.

Become PQRS Expert.  Negotiate your low hanging fruit; create your top 10 Dx code along with cost associated CPT, Monitor your payer mix from year to year, because payer contributions to your business can change over time.

Know when each of your contracts expires and how much notice you must give to make changes.  Experts recommend the following contractual elements as areas to which practices should pay attention:

  • Retro/Authorization procedure for treatment.
  • Period allowed appealing a denied claim.
  • Requirements relating to use of oral or injectable drugs.
  • Time specified for clean claim payment, and interest paid for late payment.
  • Procedure for adding new service lines.
  • Period required for providing notice of modification proposals.
  • Cancellation clause, including the advance notice required.

Feel free to e-connect or call Bristol Healthcare Services to find HOW and WHEN to negotiate or renegotiate your current contracts to include the best reimbursement rate for your practice.   www.bristolhcs.com