Accelerate cash flow for your Wound Care practice with professional coders

1
(No Transcript)
2
Accelerate cash flow for your Wound Care
practice with professional coders
To accelerate cash flows for your wound care
practice, invest time and create best
practices/strategies for processes and revenue
cycle management (RCM) policies and workflows
which are essential to sustain a practicable
business. RCM policies should include apt medical
billing and coding, patient registration,
compliant billing, query, and denial
management. Using professional coders working for
your wound care practice is usually rewarding.
They are educated in the rules and regulations,
and payment changes of Medicare, Medicaid, and
other insurance payers. They review local area
determination for regular changes, update the
charge description master reflecting the new
codes and changes, and create a transition
memorandum to reflect the latest changes. Apart
from exact documentation required from Medicare
for timely and accurate reimbursements, coders'
code for all wound care procedures and services
conducted. These are habitually in accordance
with the HCPCS rules and codes. In-house coders
are sometimes not specialized in coding
accurately (correct diagnosis codes with
treatment codes). Also, due to a number of rules
for wound care and hyperbaric oxygen treatment
coding, a number of denials are received by the
hospital leading to a loss in revenues.
3
Accelerate cash flow for your Wound Care
practice with professional coders
Thus, professional coders' come into play in
aiding in increasing reimbursements for wound
care, and assist in gaining payments through
value-based purchasing and incorporated models of
care. Many times, professional coders work from
home, by logging on to a hospital's system
(eliminating geographical barriers) and are more
so required for rural hospitals engaging in wound
care facilities. Professional coders usually
have college degrees through which they learn to
code accurately, read the documentation and query
them if required, and are knowledgeable enough to
take on the questions and challenges posed by CMS
during RAC audits, thereby displaying excellence
in tackling major/minor issues. They assist in
decreasing inaccuracies related to data and
duplicated tests which usually would have led to
high financial losses.  With the new Affordable
Care Act, it does get a little traumatic for
physicians to involve themselves in coding
documentation rather than patient care. Along
with this, the ever-changing CMS rules, coding of
modifiers, and other debridement documentation
issues tend to mess up the revenues. Hence,
professional coders from outsourcing companies
are ever too keen to help. They are aware of fine
distinctions for e.g. - if the wound care
services are not conducted by a therapist,
certain therapy modifiers and revenue codes
cannot be used. 
4
Accelerate cash flow for your Wound Care
practice with professional coders
They are also well aware of the coverage
policies of the government and private insurance
payers, or random changes in their guidelines
which ultimately affect revenues. Wound care
involves with Evaluation and Management Codes
(EM Codes) however professional coders are
aware that 'sometimes therapy' codes are
different based on the healthcare provider and
conditions under which it is provided. It is the
professional coders' mandate to understand the
physicians' documentation, to appropriate bills
and code for wound care billing services, and to
lead the path for lesser denials and eventually
soaring cash flows. Medical Billers and Coders
(MBC) is a leading medical billing company
providing complete revenue cycle services. To
know more about our Wound Care billing and Coding
services, contact us at info_at_medicalbillersandcode
rs.com/888-357-3226.