Outpatient Surgery Magazine

Did Skin Prep Fuel This Fire? - February 2017 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/782943

Contents of this Issue


Page 23 of 146

rials he used, you might find 5 or 6 other "hidden" codes. Performing comparison audits can uncover CPT codes that you otherwise would- n't have billed. Each unbilled code you miss and don't bill for repre- sents a lost opportunity, dollars that should have gone to your bottom line. The more specific, the better. When it comes to surgical docu- mentation, specificity is your best friend. Learn the types of pro- cedures your doctors are performing and know the proper codes associated with those procedures. Make sure your docs know them, too. Let's use a retinal detachment case as an example. What type of reti- nal detachment was it? What type of membrane was removed? If you don't properly document those things, you need to ask follow-up ques- tions, because the codes for each of those things are different — as are the reimbursements. As an example of omission, let's say an orthopedic surgery op report mentions internal fixation, but there's nothing listed for fixation on the surgeon's bill. It might be something as simple as a screw — another $300, perhaps — that you'll find as a result of the audit. This found money adds up quickly. If performed well, a comparison audit can improve relations and build solidarity between the surgical center, physicians and their offices, as well as among all departments involved in the reimburse- ment process. But it all begins with the surgeons practicing good doc- umentation — and sometimes that can be a challenge. Physicians tend to get used to doing things their way, which might include using unspecified codes, and now here you are coming in and telling them, "We need you to change." Those can be delicate conversations, but there are certain ways to frame those discussions in which you can 2 Coding & Billing CB 2 4 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • F E B R U A R Y 2 0 1 7

Articles in this issue

Archives of this issue

view archives of Outpatient Surgery Magazine - Did Skin Prep Fuel This Fire? - February 2017 - Subscribe to Outpatient Surgery Magazine