Code S8990 & Maintenance Care Service codes (CPT/HCPCS) tell a third party what you are doing with the patient. As with all coding, even maintenance care must be properly coded to clearly communicate in the patient record within your software, and for any authorized third-party that may have access to this data. S8990 Explanation Definition…
Documentation Drives Coding
Far too often, we find a fancy code (maybe a new code) and want to find a way to charge for it. This is completely backward. Documentation must drive coding. This simple visual reminder outlines the process of starting with the documentation and coding from there. Utilize this concept to re-enforce the dependency that each…
Practice Decision Matrix
Download Support Tool There are a variety of patient types and each of them must be considered when making a business decision with regards to the practice’s financial set up. If you decide to accept all patient types, you will need to count the cost. This can only be done by properly evaluating what is…
KMCU Financial System-Cash Based vs Insurance
Download Support Tool This image provides an overview of the KMC University Financial System but with a twist. It captures the processes for a for a clinic that is strictly cash-based. Take a closer look to see what cogwheels are missing (faded). Remember each cogwheel represents a procedure with necessary processes for reimbursement. If a…
Administrative Discharge Process
The Discharge Process All good things must come to an end. It’s only natural that at some point, the patient reaches the end of active treatment. To properly put a “pin” into the end of that episode, and to support strong documentation, you need a fully installed patient discharge process. It is critical to identify…
Documentation Drives Coding
Download Support Tool This Support Tool provides a snapshot of the thought process that occurs when the doctor is establishing the CPT codes to be billed via the documentation; the treatment plan is a vital step in that process. Documentation Drives Coding