Explanation of coding/billing
I am wondering if anyone has a pre-prepared explanation of coding and its impact on billing/reimbursement in the various settings (inpatient/OBS/outpatient/ancillary). Possibly in relation to ICD-10?
I have heard a variety of misunderstandings lately regarding how ICD-10 will impact coding/reimbursement. One reason I believe this is happening is that there is very little understanding from non-coders (I am seeing this with our MD’s and management/leadership staff) of how/when codes are applied and how this impacts reimbursement. Without having this basic understanding, it’s pretty tough to see how ICD-10 will impact different areas. I am trying to prepare a simple explanation of current hospital coding. This would include inpatient and outpatient records. What type of codes are applied (ICD-9, CPT, HCPCS, E&M) to different types of records and how this drives reimbursement.
I have a basic understanding of outpatient coding but I have only ever worked with inpatient records. I am having a hard time creating a very consise and clear explanation. I’m wondering if anyone can share their expertise.
Any thoughts would be appreciated.
Thanks!
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404
I have heard a variety of misunderstandings lately regarding how ICD-10 will impact coding/reimbursement. One reason I believe this is happening is that there is very little understanding from non-coders (I am seeing this with our MD’s and management/leadership staff) of how/when codes are applied and how this impacts reimbursement. Without having this basic understanding, it’s pretty tough to see how ICD-10 will impact different areas. I am trying to prepare a simple explanation of current hospital coding. This would include inpatient and outpatient records. What type of codes are applied (ICD-9, CPT, HCPCS, E&M) to different types of records and how this drives reimbursement.
I have a basic understanding of outpatient coding but I have only ever worked with inpatient records. I am having a hard time creating a very consise and clear explanation. I’m wondering if anyone can share their expertise.
Any thoughts would be appreciated.
Thanks!
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404