Tuesday continuing on

Tue, 15 Mar 2016 14:32:54 GMT

HIPAA has a six year retention requirement is the answer from yesterdays question.

As far as ICD10 goes----if you review the steps you needed to take to make the transition that is a good beginning, such as what is 5010--and why was it implemented first in the process----in order that we could all test our electronic filing prior to the transition to ICD10. The electronic health care transactions include the functions of claims, eligibility inquiries and our remittance advices.

Do you know what ICD and CPT stand for?

Review the global periods for your most common procedures

Which of the following procedures has a 90 day global period?

A: Broncoscopy

B: Myringotomy

C: Tonsillectomy

D: Myringotomy

Answer is C--90 days for tonsillectomy

of course our CPT books have the info but for a good overview CMS website has how they are calculated for major and minor procedures. You may want to just give yourself the basic overview.

Tue, 15 Mar 2016 14:45:30 GMT

Included in the process of course are the many modifiers that we use to report each. Do you know which modifier is used for a reduced service, bilateral procedures,multiple procedures, assistant surgeon, co-surgeon? Once again just review your most common procedures such as your endoscopic surgeries which are generally multiple procedures and many times bilateral.

Bilateral procedures are reported using modifier:

A: 81
B: 52
C: 25
D: 50

Answer is 50. keep in mind this is for Medicare guidelines as individual commercial carriers may want it reported differently and this varies by company.

For the purposes of this assessment we will be using Medicare guidelines.