Top Challenges With Wound Care Billing Services - PowerPoint PPT Presentation

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Top Challenges With Wound Care Billing Services

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Title: Top Challenges With Wound Care Billing Services


1

Top Challenges with Wound Care Billing
Services
https//www.247medicalbillingservices.com
1 888-502-0537
2
Top Challenges with Wound Care Billing
Services
Denials in healthcare usually focus on
high-dollar procedures like hip and knee
replacements, or other MS-DRGs may also come
under this radar. With wound care medical billing
and coding, we have identified so many
challenges. Proper documentation is necessary for
clinical substances and processes especially when
support medical necessity is involved. This
doesn't attract a clinician's judgment and
medical decision-making for performing the
procedure. Physicians have been conditioned to
document excisional debridement, but if we think
about payment recovery for these practices, they
need to do a lot more than just paperwork and
documentation. To handle wound care medical
coding for inpatients frequently lacks sufficient
documentation.
https//www.247medicalbillingservices.com
1 888-502-0537
3
Top Challenges with Wound Care Billing
Services
  • Here are some challenges we found with wound care
    billing and coding.
  • The most common error is wound care facilities
    don't use the add-on codes properly. If removing
    over 20 cm2 of tissue at a particular depth, it's
    important to use the base code and the add-on
    code.
  • It's a common myth with coding and billing that
    if there is a code for a procedure or product,
    the insurance plan will pay it.
  • ICD-10-PCS differentiates between removable and
    non-removable debridement. The ICD-10-PCS root
    operations excision and extraction indicate
    excisional debridement and non-excisional
    debridement, sequentially.
  • Coders need to be aware of assigning a present on
    admission (POA) indicator for pressure ulcers,
    particularly when the healthcare service provider
    does not note down the ulcer until many days
    after inpatient admission.

https//www.247medicalbillingservices.com
1 888-502-0537
4
Top Challenges with Wound Care Billing
Services
  It's now more than important for wound care
providers to make sure that they are coding to
the accuracy and following all the ICD-10
guidelines. While it's not so clear about the
elimination of CMS was under this grace period,
it might be some things that we are working on
with ICD-10 that may not continue to be
satisfactory. Many times, a wound care center
offers excellent patient care, and healing rates
are high. But, when it comes to calculating
revenue, clinical staff is left in the dark.
While providing good patient care is necessary, a
center that misses tracking its revenue may soon
see its doors closed. Wound care billing and
coding are at the heart of every practice and are
important for the survival of the center.
https//www.247medicalbillingservices.com
1 888-502-0537
5
Top Challenges with Wound Care Billing Services
  • Conclusion
  • The wound care billing and coding are all about a
    thorough evaluation of the patients medical
    record for the wound, which also includes wound
    dimensions, chronic diseases which includes
    chronic ulcers, diabetes, quadriplegia, etc.
    processes offered to manage the wound, follow-up,
    initial visit, photographs of the wound, and
    wound progress. To have 24/7 Medical Billing
    Services as your wound care medical billing and
    coding partner can revolutionize your practice by
    overcoming the above-mentioned challenges.

https//www.247medicalbillingservices.com
1 888-502-0537
6
Top Challenges with Wound Care Billing Services
About 24/7 Medical Billing Services 24/7
Medical Billing Services is the nations leading
medical billing service provider catering
services to more than 43 specialties across the
entire 50 states. You can rely on us for
end-to-end revenue cycle management. We guarantee
up to 10-20 increase in the revenue with cost
reduction of your practice for up to
50.  Media Contact Hari Sudan,  24/7 Medical
Billing Services, 16192 Coastal Hwy, Lewes, DE
19958 Tel 1 -888-502-0537 Email -
info_at_247medicalbillingservices.com
https//www.247medicalbillingservices.com
1 888-502-0537
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