Whenever a person visits their doctor, has a planned surgery or needs emergency care, a mound of paperwork can ensue. That one visit or medical procedure requires meticulous documentation. An effective way for medical facilities to keep track is with an evaluation and management coding tool.
Not only must facilities document, but they must also process and track the treatment properly. Generally, this includes the amount and type of supplies that health insurance providers need to determine how much to pay for each procedure.
Here are a few ways that you can ensure your healthcare facility gets the most from using a good coding tool.
Identify the Proper Level of Complexity
A primary key to medical coding is determining the complexity level of a service or treatment. Doing this properly requires three components to determine for the appropriate billing level: history, exam and decision-making.
It is important to have detailed information about the visit and/or medical procedure. Information such as the patient’s chief complaint and history of the illness is crucial.
Thorough Documentation of Medical Issues
Equally important in deciding about medical care is what is done and why a patient needs the procedure. Using an evaluation and management coding tool to document such details helps you deliver good patient care.
Keeps Practices in Line with Regulatory and Contractual Compliance
There are state and federal guidelines for medical billing and coding. For instance, HIPPA protects patient confidentiality. This law requires medical facilities to have safeguards in place that protect confidential patient information.
Accurately Coding and Billing Services Ensures Your Facility Stays Compliant
If you are looking for a way to optimize your coding and billing procedures, look no further than GeBBS Healthcare Solutions, Inc. We are a leading healthcare BPO company offering solutions like an evaluation and management coding tool.
Visit our website for more information on how we can help you improve the business side of delivering great care.
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