1 / 13

Top CPT Codes And Modifiers For Pathology Medical Billing

Just as any other medical specialty, Pathology too, needs accurate documentation for generating any patientu2019s medical report. For a pathologist, when taking care of pathology billing and coding, itu2019s absolutely important to acquire prompt and accurate pathology reports in order to ensure successful reimbursements.<br><br>Whether itu2019s a clinical lab, a physician office lab or even an independent lab, each of these will have different needs and ways to deal with issues related to patient documentation, payer types, or set of procedures. Also, billing for pathology involves a huge variety of different

Daniel105
Télécharger la présentation

Top CPT Codes And Modifiers For Pathology Medical Billing

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Just as any other medical specialty, Pathology too, needs accurate documentation for generating any patient’s medical report. For a pathologist, when taking care of pathology billing and coding, it’s absolutely important to acquire prompt and accurate pathology reports in order to ensure successful reimbursements. Whether it’s a clinical lab, a physician office lab or even an independent lab, each of these will have different needs and ways to deal with issues related to patient documentation, payer types, or set of procedures. Also, billing for pathology involves a huge variety of different code types and it’s essential for pathologists to be fluent in it while staying updated with the periodic updates. Read More… Top CPT Codes And Modifiers For Pathology Medical Billing info@247medicalbillingservices.comhttps://www.247medicalbillingservices.com/888-502-0537

  2. info@247medicalbillingservices.comhttps://www.247medicalbillingservices.com/888-502-0537info@247medicalbillingservices.comhttps://www.247medicalbillingservices.com/888-502-0537

  3. Just as any other medical specialty, Pathology too, needs accurate documentation for generating any patient’s medical report. For a pathologist, when taking care of pathology billing and coding, it’s absolutely important to acquire prompt and accurate pathology reports in order to ensure successful reimbursements. Whether it’s a clinical lab, a physician office lab or even an independent lab, each of these will have different needs and ways to deal with issues related to patient documentation, payer types, or set of procedures. Also, billing for pathology involves a huge variety of different code types and it’s essential for pathologists to be fluent in it while staying updated with the periodic updates. info@247medicalbillingservices.comhttps://www.247medicalbillingservices.com/888-502-0537

  4. What Is CPT®? Pathologists will need to accurately use CPT® which is the medical code set for physicians and health care professionals. Current Procedural Terminology, commonly known as CPT® acts as a uniform language for coding billing medical services and procedures for reimbursements in order to streamline reporting, increase accuracy and efficiency. Each CPT® code represents a written description of a service or procedure that eliminates the need to write a detailed interpretation of what was rendered to a patient. CPT® codes were created by the American Medical Association (AMA) in 1996 to standardize the reporting of medical, surgical, and diagnostic offerings and procedures. . info@247medicalbillingservices.comhttps://www.247medicalbillingservices.com/888-502-0537

  5. On-time File Claims One of the most common billing mistakes that orthopedic practices can refrain from is filing their claims on time. To do so, a process can be created with common procedures and metrics that will contribute towards the ability to submit claims within a specific time period. Meeting the claim filing deadlines will determine the execution of a claim- whether it will be denied or paid. Be sure to keep a track of these deadlines and ensure timely filing is provided by the insurance carriers. info@247medicalbillingservices.comhttps://www.247medicalbillingservices.com/888-502-0537

  6. Considering the various services and procedures, the AMA has organized CPT® codes into three types: CPT® Category I CPT® Category II CPT® Category III Codes used in Pathology Billing and Coding: CPT codes (dermatologists)- 88300 to 88332 Level III surgical pathology (abscess, anus, hematoma, etc.)- 88304 Level IV surgical pathology or microscopic examination (lip, skin tongue, etc)- 88305 info@247medicalbillingservices.comhttps://www.247medicalbillingservices.com/888-502-0537

  7. CPT New Codes: Obstetric panel (including HIV testing) – 80081 Molecular Pathology Procedures – Gene Specific and Genome procedures- 81170, 81162, 81218, 81219, 81272, 81273, 81276, 81311, 81314. Cytogenomic microarray analyses- 81228, 81229, 81405, 81406 Long QT syndrome gene analyses- 81280, 81282 Genomic Sequencing Procedures and other Molecular Multianalyte Assays- 81412, 81432, 81433, 81434, 81437, 81438, 81442 Multianalyte Assays with MAAAs- 81490, 81493, 81525, 81528, 81535, +81536, 81538, 81540, 81545, 81595, 0009M, 0010M Immunofluorescence Stains- +88350 info@247medicalbillingservices.comhttps://www.247medicalbillingservices.com/888-502-0537

  8. CPT Revised Codes: Molecular Pathology- 81210, 81275, 81355, 81401, 81402, 81403, 81404, 81405, 81406 Genomic Sequencing Procedures and other Molecular Multianalyte Assays- 81435, 81436, 81445, 81450, 81455 Chemistry– 82542, 83789 Immunology– 86708, 86709 Microbiology– 87301, 87305, 87320, 87324, 87327, 87328, 87329, 87332, 87335, 87336, 87337, 87338, 87339, 87340, 87341, 87350, 87380, 87385, 87389, 87390, 87391, 87400, 87420, 87425, 87427, 87430, 87449, 87450, 87451, 87502, +87503 Surgical Pathology- 88346 info@247medicalbillingservices.comhttps://www.247medicalbillingservices.com/888-502-0537

  9. What is a Modifier? Modifiers help alter a service, method, or item for compensation purposes in specific instances. To provide greater specificity for the treatment or process given, modifiers may add information or amend the description in accordance with physician documentation. The use of an appropriate modifier to respond to reimbursement can prove to be a success. info@247medicalbillingservices.comhttps://www.247medicalbillingservices.com/888-502-0537

  10. Modifiers in Pathology Billing: info@247medicalbillingservices.comhttps://www.247medicalbillingservices.com/888-502-0537

  11. Conclusion Many medical billing teams are fortunate enough to only have to work with one or two code types, but when it comes to billing for pathology it’s a completely different scenario. There is numerous variety of code types that the administrative team will have to be eloquent in and ensure they are using the right codes for proper documentation. Another code type is the HCPC codes that are usually common in pathology laboratories due to the specialized equipment and sample transportation services used in the process. Pathology laboratories can be found in different shapes and sizes, and each one has its own different billing needs and processes. To execute this your billing teams might not have the right knowledge and expertise but don’t worry, you can always outsource your pathology billing services to 24/7 Medical Billing Services. Our state-of-the-art medical billing services cater to pathologists, labs, and clinics to maximize their revenue irrespective of the size or requirements. Our aim is to empower you to serve your patients more profitably while providing an excellent patient experience, rest of the billing concerns can be left behind with us at 24/7 Medical Billing Services. info@247medicalbillingservices.comhttps://www.247medicalbillingservices.com/888-502-0537

  12. We are a medical billing company that offers ‘24/7 Medical Billing Services’ and support physicians, hospitals, medical institutions and group practices with our end to end medical billing solutions. We help you earn more revenue with our quick and affordable services. Our customized Revenue Cycle Management (RCM) solutions allow physicians to attract additional revenue and reduce administrative burden or losses. Our company was founded in 2005 and is now a leading organization of highly motivated and certified coders & billers in the US medical billing industry. Our current employee strength is 500+ and we have ambitious plans to grow more rapidly. As a leading Medical Billing Outsourcing Company we take care of the complete setup & enrolment in about one to four weeks time depending on the complexity of the project. We have certified trainers with 10+ years of experience to train the newcomers so they can get acquainted with the specialty jargons & stay updated with the recent coding developments. About us info@247medicalbillingservices.comhttps://www.247medicalbillingservices.com/888-502-0537

  13. 24/7 Medical Billing Services 16192 Coastal Hwy, Lewes, DE – 19958 USA Phone no : +1 888-502-0537 Email Address : info@247medicalbillingservices.com Contact us info@247medicalbillingservices.comhttps://www.247medicalbillingservices.com/888-502-0537

More Related