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2017 Medical Coding Guidelines for Vascular Surgeons

Medical coding guidelines for vascular surgeons to ensure appropriate reimbursement for coronary and endovascular procedures.<br>

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2017 Medical Coding Guidelines for Vascular Surgeons

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  1. www.outsourcestrategies.com

  2. Vascular surgeons perform a comprehensive range of procedures and the adoption of new endovascular techniques has led to reduced hospital stays. Under Medicare’s value-based program, health care providers are rewarded with incentive payments for the quality of care rather than the quantum of services provided. Outsourcing medical coding to a company that has certified coders with expertise in CPT, HCPCS and ICD-10 coding is crucial to ensure appropriate reimbursement. www.outsourcestrategies.com

  3. Comprehensive Ambulatory Payment Classifications (C-APCs) APCs are an outpatient prospective payment system applicable only to hospitals C-APCs are package payments for services and supplies The goal of C-APCs is to pay providers for quality, rather than the quantity of services provided Many coronary and endovascular procedures qualify for Comprehensive Ambulatory Payment Classifications (C-APCs) Under the policy, a HCPCS code is assigned as a primary service allotted to a C-APC Providers are reimbursed for all other items and services reported on the claim as being integral, ancillary, supportive, depending, and adjunct to the primary service www.outsourcestrategies.com

  4. VASCX Clinical Family Changes and Complexity Adjustments in 2017 In 2017, CMS adds 25 new C-APCs, though the C-APC policies established in CY 2015 remain unchanged The number of clinical families has been increased from 14 to 21 With diagnostic catheters and angiographies newly classified as a C-APC, the PCI vascular family has expanded from three C-APC levels to four Complexity criteria are applied for multiple procedure combinations performed on the same date of service to permit mapping to a higher APC within that clinical family of procedures Code combinations are pairs of HCPCS C-APC 5194 Level 4 Endovascular Procedures is the highest level of payment for the vascular family www.outsourcestrategies.com

  5. CY2017 VASCX C-APCs Changes www.outsourcestrategies.com

  6. CY2017 VASCX C-APCs Changes www.outsourcestrategies.com

  7. Maximize Reimbursement with Expert Vascular Medical Billing and Coding Services Services of certified coders with expertise in CPT, HCPCS and ICD-10 coding Error-free coding in compliance with the latest medical codes and individual payer policies Efficient revenue cycle management - from enrolment and insurance authorization to billing, claim submission and collections Quick turnaround time www.outsourcestrategies.com

  8. Maximize Reimbursement with Expert Vascular Medical Billing and Coding Services Timely appeals process for denials/incorrect claims Weekly/monthly reports Cost savings of 30-40% HIPAA-compliant service Appropriate reimbursement for coronary and endovascular procedures www.outsourcestrategies.com

  9. CONTACT Headquarters:8596 E. 101st Street, Suite HTulsa, OK 74133Main: (800) 670 2809Fax: (877) 835-5442E-mail:info@managedoutsource.comURL:http://www.outsourcestrategies.com

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