chargemaster 101: breaking it down · new codes 74018 –x-ray abdomen 1 view 74019 –x-ray...
TRANSCRIPT
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Presented by Sandy Sage RN, HomeTown Health, LLC
Chargemaster 101:Breaking it Down
December 14, 2017
A PORTION OF THESE MATERIALS WERE PRODUCED PURSUANT TO THE Iowa Small Hospital Improvement
Program (SHIP) Grant FY 17, IA Contract #5888SH01 and the Georgia Small Hospital Improvement Grant FY 17
WEBINAR ETIQUETTE
Hospital Transformation Consortium
•All attendees are in “Listen Only” mode•Questions or comments?- Open “Questions” pane in
dashboard.
- Type in comments or questions.
- Comments will be monitored
throughout webinar.
- Questions will be addressed at
end of the webinar.
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•This webinar will be recorded and emailed to you to share with others
on your team.
•Handouts are available for download in the Handouts pane and will be
emailed out to attendees after the
webinar.
WEBINAR RESOURCES
Hospital Transformation Consortium
As an IACET Authorized Provider, HomeTown Health, LLC offers
CEUs for its programs that qualify under the ANSI/IACET
Standard. HomeTown Health, LLC is authorized by IACET to
offer 0.1 CEUs for this program.
In order to obtain these units, you must:
• Attend webinar/view recording in its entirety within 30 days• Pass online quiz with 80% or better.• Complete webinar evaluation.
Following this webinar, all attendees who have viewed the recording in its entirety will receive an email with a link to the quiz and evaluation.
Anyone that misses the webinar can view the recording online, posted on the program Dashboard, for CEUs.
CONTINUING EDUCATION
Hospital Transformation Consortium
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GROUP PARTICIPATION
Hospital Transformation Consortium
Are you on this webinar with a group?
If so, please enter:first/last names and email addresses of those in attendance with you in the
Questions Pane.
Welcome & Introductions Desi Barrett,
HomeTown Health, LLC
Focus on Chargemaster: Breaking it Down
Room Rates, Radiology, ER, OR, Therapy
Sandy Sage RN,
HomeTown Health, LLC
Upcoming Events & Resources Sandy Sage,
HomeTown Health, LLC
AGENDA
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Sandy Sage RN
• Registered Nurse for 25+ years• Has worked in rural hospital revenue cycles 18 years• HTHU Instructor• Currently a Revenue Analyst for HomeTown Health
• Passionate about saving rural hospitals• Love my kids and my cats!
Presented by Sandy Sage RN, HomeTown Health, LLC
Chargemaster 101:Breaking it Down
Learning Outcome Standard: Based on CMS Guidelines for HCPCS codes and AMA guidelines for CPT codes
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Poll
Question
Learning Outcomes
� List the most common 3 modifiers used in the Radiology Chargemaster
� Identify the different therapy revenue codes
� Describe why revenue codes are important
� Describe the role of department managers in maintaining the Chargemaster
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THE PROCESS
Poll
Question
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Access
� Not everyone should have access to make changes in the Chargemaster
�Chargemaster Leader
�Back-up to Chargemaster Leader
�CFO
� Too many hands spoil the soup!
People
� Who should verify new charges?
�Department Manager
�Coding Department
�CFO or BOM
�Chargemaster Leader
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Process
Assign Assign oversight responsibilityAssign oversight responsibility
Make Make exceptions for last minute additionsMake exceptions for last minute additions
Determine Determine time limitsDetermine time limits
Develop Develop a tracking mechanismDevelop a tracking mechanism
Use Use a form or other standardized method that can be moved quickly from department to department. (shared drive)Use a form or other standardized method that can be moved quickly from department to department. (shared drive)
Process
After additions, test charges to make sure they are crossing to the bills correctly
After additions, test charges to make sure they are crossing to the bills correctly
The CDM Leader should lead the team in making the annual updates
The CDM Leader should lead the team in making the annual updates
Assign responsibility for review of quarterly HCPCS code updates
Assign responsibility for review of quarterly HCPCS code updates
Do in-house reviews by department managers annually
Do in-house reviews by department managers annually
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Documentation
� Create a reference book for your process, include:
�Contact information for the CDM team
�Definitions of required elements (revenue codes, description lengths etc.)
� Flow charts of the processes (entering, auditing)
� Samples of reports used and how to run them.
�Policies and procedures
2018 CPT Code Changes
Respiratory Changes
� 94620 Pulmonary stress testing – deleted
� 94617, 94618 Added
� 94621 Revised
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2018 CPT Code Changes
Other Changes
� 99363 and 99364 for Warfarin/Coumadin
Supervision have been deleted
� Several surgical codes have been changed,
see your 2018 CPT code manual for updates
ROOM CHARGES
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Room Charges
� Revenue Codes
Revenue Code Description
111/121 Med/Surg Private/Semi-private
112/122 OB Private/Semi-private
113/123 Pediatric Private/Semi-private
114/124 Psych Private/Semi-private
170 Nursery- Well Baby
171-174 Nursery Levels 1-4
179 Boarder Baby
Room Charges
� Revenue Codes
Revenue Code Description
201 Surgical ICU
202 Medical ICU
203 Pediatric ICU
207 Burn Care ICU
208 Trauma ICU
210 Coronary Care Unit – CCU
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Room Rates
� Private room is considered medically necessary if no other type room is available.
� What is included in the room rates?
� Telemetry
� Isolation
� Equipment
� Beds
� Nursing Care
� Meals
� Routine supplies (admission kit)
Room Rates
� You can set up room rates that reflect the services provided.
� Example: A routine Med/Surg room rate would be lower than a Telemetry room rate and an Isolation room rate.
� Add the cost of telemetry monitoring into the inpatient room rate.
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Assignment
� Room charges are determined during the registration process.
� If the wrong room accommodation code is chosen it will create havoc throughout the revenue cycle.
� Train Patient Access staff and explain the importance of accuracy.
Observation Hours
Observation hour charges should equal or exceed the charge for an inpatient day’s rate.
Observation is considered more intensive care than a regular room rate so the charge should be reflective of the care given.
Don’t forget if a patient does not come through the ER or OR a Direct Admit to Observation charge should be applied.
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RADIOLOGY
Radiology
� Multiple disciplines within the department
� High volume department
� Most exams/procedures are hard coded
� Interventional Radiology may be coded in HIM
� Staff must know what and when to charge
� All procedures coded by HIM for outpatient accounts must have a corresponding charge.
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Radiology
� Revenue Codes
RC Description
320 General X-rays - Diagnostic
321 Angiocardiography
322 Arthrography
323 Arteriography
324 Chest X-ray
RC Description
330 General X-rays – Therapeutic
340 General – Nuclear Medicine
341 Diagnostic Nuclear Medicine
342 Therapeutic Nuclear Medicine
343 Diagnostic Radiopharmaceuticals
344 Therapeutic Radiopharmaceuticals
Radiology
� Revenue Codes
RC Description
350 General CT Scan
351 Head CT Scan
352 Body CT Scan
359 Other CT Scan
790 Lithotripsy
921 Peripheral Vascular Lab
RC Description
401 Diagnostic Mammography
402 Ultrasound
403 Screening Mammography
404 PET Scans
409 Other Imaging
483 Echocardiology
482 Stress Test
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Radiology
� Revenue Codes
RC Description
610 General MRI
611 MRI Brain and Brain Stem
612 MRI Spine and Spinal Cord
614 Other MRI
740 EEG
749 Other EEG
RC Description
615 MRA Head and Neck
616 MRA Lower Extremities
618 MRA Other
621 Supplies incident to Radiology
Radiology CPT/HCPCS
� All Radiology exams are assigned a CPT/HCPCS Code; Majority are in 70000 range for CPT codes
� Some are assigned both a CPT and a HCPCS code for the same exam with Medicare requiring the HCPCS code and other payers a CPT code.
� Both must be included in the CDM with the billing system set up to route the correct code to the bill.
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Radiology Crosswalk Updated 6/2017Description CPT HCPCS Code
Screening Mammography Bilateral w/cad 77067 G0202
Diagnostic Mammography Bilateral w/cad 77066 G0204
Diagnostic Mammography Unilateral w/cad 77065 G0206
Diagnostic Digital Breast tomosynthesis unilateral or bilateral, add on code (G0204/G0206)
77062 G0279
MRA Abdomen with contrast None C8900
MRA Abdomen without contrast None C8901
MRA Abdomen with and without contrast 74185 C8902
MRI with contrast breast unilateral None C8903
MRI Breast without contrast unilateral None C8904
MRI Breast with and without contrast unilateral None C8905
Radiology
� Check your HCPCS code book for other C-codes including Transthoracic echocardiography, more MRAs and other testing done in Radiology
� If the HCPCS codes are not in your CDM, Medicare and sometimes Medicaid will deny as invalid code for billing.
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Radiology CDM Modifiers
� LT – Left RT – Right 50 - Bilateral
� If a code specifies that the exam is bilateral you do not use the 50 modifier and should not bill as a unilateral exam.
� If there is no specification use all 3 modifiers on a separate line for each in the Chargemaster.
� *Note: Some payers do not accept modifiers
Radiology
� 73560 X-ray of knee 1-2 views
�320 X-ray of knee 1-2 views Left – 73560LT
�320 X-ray of knee 1-2 views Right – 73560RT
�320 X-ray of knee 1-2 views Bilateral – 7356050
� Screening Mammogram bilateral – 77067 No modifier 50 is needed if bilateral is specified in the description.
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RadiologyLT, RT, 50
Do NOT use the modifiers on
single unmatched body parts
� Sacrum
�Heart
�Head
�Chest
�Pelvis
� Etc.
Radiology Modifier 76
Modifier 76 is used in Radiology to show that and exam has been repeated. Modifier 76 is used in Radiology to show that and exam has been repeated.
This is applied by HIM and the Radiology Department needs a good communication process with the coders.This is applied by HIM and the Radiology Department needs a good communication process with the coders.
It is only applied to the second or repeated CPT code so it is not practical to add these to the CDM.It is only applied to the second or repeated CPT code so it is not practical to add these to the CDM.
Do not charge a repeat exam if you are repeating it due to a technical errorDo not charge a repeat exam if you are repeating it due to a technical error
The billing department should not be assigning modifiersThe billing department should not be assigning modifiers
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Radiology Tips
Do NOT use Modifier 59 in the Chargemaster!!
No need to use finger and toe modifiers because the X-ray will capture the whole hand or foot.
DO NOT charge a left and a right on the same date of service even if done at different times. It will have to be charged and billed as a bilateral exam.
Radiology Modifier TC
Modifier TC is for the Technical Component of an exam.Modifier TC is for the Technical Component of an exam.
It is not required for hospital billing.It is not required for hospital billing.
It is assumed that CPT codes billed by a hospital on a UB04 are technical and not professional.
It is assumed that CPT codes billed by a hospital on a UB04 are technical and not professional.
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Radiology
� Make sure that every procedure you do is available for you to charge.
� CPT codes are updated annually
� Don’t forget to add any new service lines
� Communicate with Radiologist and HIM Coders
Radiology
� Choose the charge that describes most accurately what the exam includes.
� Example:
� 71100 Ribs unilateral 2 views
� 71101 Ribs unilateral 2 views including posteroanterior chest min. 3 views
(Do not charge a chest x-ray separately, it is included)
* Note that these would each be in your Chargemaster twice. One for the
left side, one for the right side with the LT and RT modifiers. You would
NOT put this in the Chargemaster as a bilateral with a 50 modifier. For
bilateral you would use 71110 and 71111 without the 50 modifier.
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Radiology Contrast
� Low Osmolar Contrast Material (LOCM)
� High Osmolar Contrast Material (HOCM)
� Q9951-Q9967
� Includes Gastrografin, Omnipaque, Isovue, Ultravist, Vispaque, Optiray, Sinografin etc.
� Must be billed according to the description in the HCPCS code book
Radiology Contrast
� Q9967 – LOCM 300-399 mg/ml per ml
� MUST BE BILLED PER ml/cc
� Don’t bill as one unit, bill the number of ml/cc given to the patient
� Use revenue code 255 – Drugs incident to Radiology
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Note
There are codes that are always included in payment of another code.
It is still important to charge them.
76376 and 76377 describe CT reconstruction, these are always bundled for PPS hospitals.
Exception is CAHs cost based reimbursement
2018 Radiology Changes
� Deleted Codes
�71010
�71015
�71020-71023
�71033
�71034
�71035
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2018
Changes
New Codes
71045 – Chest X-ray Single view
71046 - Chest X-ray 2 views
71047 – Chest X-ray 3 views
71048 – Chest X-ray 4 or more views
2018 Changes
� Deleted Codes
� 74000
� 74010
� 74020
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2018 Changes
New Codes
74018 – X-Ray Abdomen 1 view
74019 – X-Ray Abdomen 2 views
74021 – X-Ray Abdomen 3 or more views
Radiology Managers
Sit down
Sit down with your copy of the CDM, the HCPCS book and the AMA CPT code book.
Start
Start at 70000 and go page by page to make sure that every exam you do is listed in your CDM.
Check
Check your revenue codes against the list in this webinar handout. Correct if needed.
Confirm
Confirm all unilateral and bilateral modifiers are included with the correct description
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Radiology Managers
Identify
Identify any codes that are in your CDM that are no longer active (Not in the code book)
Remove
Remove or delete any inactive codes
Add
Add any HCPCS codes that are required for Medicare billing. Notify your BOM
Check
Check that your department assignments are correct
QUESTIONS??
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Emergency Department
Poll
Question
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Emergency Department
� Revenue Codes
� Emergency Room Hospital – 450
� Emergency Room Physician – 981
� Other revenue codes may be charged
� 450 is the place of service for ER
Emergency Department
� ER Levels 99281-99285 and 99291-92 (hard coded)
� Procedure charges can be in the ER CDM 2 different ways
�Listing each individual procedure on it’s own charge line
�Having 3-4 procedure categories
� Injections and Infusions (hard coded)
� Nursing Procedures (hard coded)
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Emergency Department
� How do you assign ER Levels?
� Points? Acuity? EHR?
� CMS has said that hospitals can decide how to assign levels as long as these requirements are met:
� Consistent
� In Writing
� An outside auditor could reproduce the level based on your written policy.
POLL QUESTION
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POLL QUESTION
Emergency Department
Individual ProceduresPROs CONs
Each procedure has a description listed in the CDM
Physicians and Nursing staff do not know procedure coding rules
The coding staff do not have to code the procedure
It is easy to select the wrong procedure
The physician and the hospital can easily charge the same procedure
Charge sheets are enormous
If a charge is missed it will not hit an edit to notify the billing staff
More time consuming for staff
You may do a procedure not listed
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Emergency Department
Procedure LevelsPROs CONs
Easier, less time consuming All procedures are not listed on the charge forms
Nursing staff does not have to know coding rules
The physician may choose to bill a different code
If a charge is missed it will trigger billing edits
Coding staff can ensure correct codes are billed
You don’t have to worry about missing a procedure in the CDM
Pricing is much easier
Emergency Department
If you decide to list each procedure individually, your coders should help review the CDM to make sure the descriptions match the codes.
You should have a process in place to add missing procedure charges quickly to avoid delays in billing.
You need to have a pricing mechanism in place for any added procedures.
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Emergency Department� If you have procedure levels they can be described according to
intensity.
� Minor procedure
� Moderate procedure
� Major procedure
� Each facility can determine what they want put in each level.
� Example:
� All single layer sutures < 3 inches = Minor
� Manipulation of dislocation = Moderate
� Chest Tube Insertion = Major
Emergency Department
Dept RC Description CPT code Price
ER 450 Minor Procedure $000000
ER 450 Repair of Scalp 2.5 cm or < 12001 $000000
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Emergency DepartmentDept RC Description CPT code Price
ER 450 Foley Catheter Insertion 51702 $000000
ER 450 Splinting or strapping $000000
ER 450 Casting $000000
ER 450 Burn Dressing $000000
ER 450 Change G tube 43760 $000000
ER 450 Gastric Intubation/Lavage 43753 $000000
ER 450 CPR 92950 $000000
ER 300 In and Out Specimen Collection P9612 $000000
ER 300 FSBS 82962 $000000
Emergency Department
� Injections and infusions can be in your CDM with place of service revenue codes and the CPT code.
� 450- Emergency Department
Or
� 260- IV Therapy
� You want to make sure that they are mapping to the correct department
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Emergency Department
Physician ER Levels do not have to match what you are charging for the hospital ER Level.
Hospital levels are based on resources used.
Physician levels are based on the assessments and documentation.
If all levels always match it may send up red flags at your payers.
Emergency Department
� When you are reviewing your Chargemaster, communicate with your CFO regarding pricing.
� It is important, especially on your ER levels that you do NOT price them below your contracted rates.
� You will be paid the “lesser of” in most contracts.
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ED Managers
Sit down
Sit down with your copy of the CDM, the HCPCS book and the AMA CPT code book.
Start
Start by looking at each charge in the CDM making sure the revenue codes are correct
Check
Check to make sure that all levels and procedures have a CPT code attached (unless you do procedure levels)
Confirm
Confirm that your descriptions are correct and up to date
ED Managers
Identify
Identify any codes that are in your CDM that are no longer active (Not in the code book)
Remove
Remove or delete any inactive codes
Add
Add any procedures that Nursing does that can be hard coded in the CDM and add them (Let HIM know)
Communicate
Communicate any process or charging changes to your coders in HIM.
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Operating Room and Endoscopy
Operating Room
Revenue Codes
� 360 – General OR
� 361 – Minor/Outpatient Surgery
� 370 – Anesthesia
� 710 – Recovery Room
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POLL QUESTION
POLL QUESTION
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Choose How to Bill
� The standard for billing OR procedures is usually to bill invasive procedures based on time increments and Endoscopic procedures based on the procedure itself.
� Each hospital can choose how they want to bill to cover the costs.
Charging for ProceduresOperating Room
Charging Time Increments
When determining cost don’t forget
non-billable supplies!
PROs CONs
Actual time is billed Slow MD, Higher charges
Can determine actual cost of procedure
No pre-determined prices by procedure
Productivity can be measured Each patient’s charge could vary
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Operating Room Charging Time vs. Procedure
� Many times there are multiple procedures done in one OR session.
� Charging for the subsequent procedures must show reduced pricing because the room set up was done only once, same staff was utilized, one bill is generated, one set of instruments cleaned.
� If time is used no discounting needs to be determined
� Front load with the first 15 minutes then each additional minute or increment of time.
� Once most frequent procedures are done multiple times, estimates can be determined by averaging charge by physician.
Estimating OR Procedures� Use the history found in your IT system for
procedures
� Identify your top procedures, by service line i.e. Ortho, General, GYN, ENT etc.
� Pull the charges that are tied to the CPT codes for top procedures
� Develop pricing based on an average procedure charge
� Evaluate payment ranges based on payer history
� Determine what amount would cover costs and also be fair to uninsured.
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OR Charging
� If you do surgeries that are typically more cost intensive you can also charge using time increments specific to a certain OR suite.
� General Suite: $350 base rate then $175 per add 15 min
� OB/GYN Suite: $500 base rate then $225 per add 15 min
� Ortho Suite: $650 base rate then $275 per add 15 min
� Whatever works for your OR
OR Charging Tips
Your processes for charging need to be evaluated to ensure that any implants or devices are charged.
Remember that you can’t charge for equipment!
Do invoices need to be given to your business office for billing?
Some payers will not pay if an implant is not charged and an invoice is not included with the bill.
Work with materials management!
Newly ordered devices may not be in the Chargemaster at the time of surgery, what is your process?
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Recovery Room
� Revenue Code – 710
� No CPT code is attached
� Recovery Room can be charged by time or by room.
Charging OR Procedures
When OR procedures are charged in time increments they will go to the bill on one
line for revenue code 360
The coder will code the procedure(s)
The CPT will match up with the revenue
code on the bill
Once again a double check
system!
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Anesthesia - Hospital
� Revenue code 370 – No CPT code is assigned to this revenue code
� If you are charging time based surgeries you can charge anesthesia in time increments as well
� You can charge anesthesia according to procedure if you are charging each individual surgery and not according to time increments.
� If you are billing for your CRNA there are different rules and guidelines.
Conscious Sedation
� CPT codes 99151-99157
� 99151 1st 15 minutes then code for each additional 15 minutes
� Includes pre and post service work
� Do not report separately
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Conscious Sedation
� Pre-service Work
�Assessments including pulse ox
�Vital signs
�Consents
� IV insertions
� Included in conscious sedation CPT code
Conscious Sedation
� Post-service Work
�Assessment of consciousness
�Assessment of discharge readiness
�Documentation
�Communication with family
� (basically recovery)
� Included in conscious sedation CPT code
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Endoscopy� Revenue code – 750
� These can be put on individual lines in the Chargemaster with the CPT code attached.
Or
� You can use lines with no CPT code and let the coders do the coding.
� Initial Endo procedure
� Subsequent Endo procedure (use when more than one procedure is done during a session at reduced pricing)
Endoscopy
� There are many rules for the endoscopy CPT codes
� It is usually more accurate for the coders to assign the CPT codes
� Example: 43239 Endoscopy with biopsy
(Do not report with 43254 for the same lesion)
(Do not report with 43197, 43198,43235,44360, 44363,44364,44365,44366,44369,44370,44372,44373, 44376,44377,44378,44379)
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OR Managers
Discuss
Discuss how you want to charge for surgeries (Procedure vs. Time)
Evaluate
Evaluate your charges by using historical data to determine cost vs. charge
Review
Review your current Chargemaster
Evaluate
Evaluate your processes for charging
THERAPY
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POLL QUESTION
Therapy Revenue Codes
� 0420 Physical Therapy0421 Visit charge0422 Hourly charge0423 Group rate0424 Evaluation or re-evaluation0429 Other
� 0430 Occupational Therapy0431 Visit charge0432 Hourly charge0433 Group rate0434 Evaluation or re-evaluation0439 Other
� 0440 Speech Therapy – Language Pathology0441 Visit charge0442 Hourly charge0443 Group rate0444 Evaluation or re-evaluation0449 Other
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Therapy Modifiers
� GP – Physical Therapy
� GO – Occupational
� GN – Speech Therapy
Therapy Billing
� Service based codes – Evaluations, hot/cold packs, things that are not time based and are only billed once.
� Time-Based – Billing in 15 minute increments; one on one
� Certifications – required within 30 days of the evaluation to be signed by the physician, covers the first 90 days of treatment.
� Progress reports every 30 days or 10 visits, whichever comes first.
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Therapy CPT Codes
� PT Evaluations – 97161-97163
� OT Evaluations – 97164-97168
� Untimed Modalities- 97010-97028
� Timed Modalities – 97032-97039
� Therapeutic Procedures – 97110-97546
� Wound Care Management – 97597-97606
� Tests and Measurements – 97750-97755
� Orthotic or Prosthetic Management – 97760-97762
Functional Reporting
� For Medicare patients only
� 42 functional G codes
� 14 sets of 3 codes
� Describe functional limitations
� Medicare Quick Reference Chart:
� https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/G-Codes-Chart-908924.pdf
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Functional Reporting
Severity and Complexity modifiers to be applied to the G codes
Therapy Managers
Review
Review your current Chargemaster
Check
Check that codes are in the correct revenue code
Check
Check that therapy modifiers are on the correct codes
Make
Make sure that all functional codes are available
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Learning Outcomes
� List the most common 3 modifiers used in the Radiology Chargemaster
� LT, RT, 50
� Identify the different therapy revenue codes
� 420s
� 430s
� 440s
Learning Outcomes
� Describe why revenue codes are important
�They communicate type and location of procedure or supply
� Describe the role of department managers in maintaining the Chargemaster
�Verify new charges
�Communicate new services
�Maintain up to date
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QUESTIONS?
Coming Up…..
� Tuesday, January 16, 2018, 11 am EST
Draffin and Tucker presents:
Cost Report 101:
The Who, What, Where, How and Why of the Cost Report
� Friday, December 29, 2017, 1 pm EST
RHC: Workflow Analysis
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CONSORTIUM SUPPORT:
WEBSITE DASHBOARD
IOWA
www.hthu.net/iahtc
GA/FL
www.hthu.net/htc17
Contact us for password
PROGRAM CALENDAR
“Cheat Sheet”
FEBRUARY 8, 2018 2pm EST
� We will cover:
� Supply
�Pharmacy
� Lab
These are large departments in the Chargemaster
Prior to the webinar review the charges and be familiar with these departments.
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ResourcesResourcesResourcesResources
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Events?
Contact:
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or
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content, webinar format, and anything
else you can share!
If there’s something we can help your
hospital with, please let us know!
References� https://www.cms.gov/Medicare/Medicare-Fee-for-Service-
Payment/PhysicianFeeSched/Downloads/FAQ-Mammography-Services-Coding-Direct-Digital-Imaging.pdf
� https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/Downloads/HCPCSLevelIICodingProcedures7-2011.pdf
� http://bok.ahima.org/doc?oid=106784#.WgR_sGhSxPZ
� https://www.bcbsnc.com/assets/providers/public/training/g_code_crosswalk.pdf
� http://www.mainstreetradiology.com/File%20Library/pdf/cpt-code-final.pdf
� https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c13.pdf
• https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/bp102c01.pdf
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12/13/2017
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References
� https://www.bcbsnc.com/assets/providers/public/training/g_code_crosswalk.pdf
� http://www.mainstreetradiology.com/File%20Library/pdf/cpt-code-final.pdf
� https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c13.pdf