Transcription of Documentation & Coding Compliance for Otolaryngology ...
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Documentation & Coding Compliance for Otolaryngology ...
Documentation & Coding Compliance for Otolaryngology Head & Neck Surgery Stephen R. Levinson, ( ). ASA,LLC. Disclaimer This presentation is designed to provide accurate and authoritative information in regard to the subject matter covered. The information includes both reporting and interpretation of materials in various publications, as well as interpretation of policies of various organizations. This information is subject to individual interpretation and to changes over time Presenter has personal interests in consulting, presenting, writing about, and developing software in order to help physicians achieve compliant medical records and to help them facilitate quality patient care ASA,LLC. Attendee Demographics physician offices Hospital / Academic Medical Center Medicare / Insurers Consultant HIT. Other 1. Today's Agenda: Otolaryngology - HNS. Principles of procedure Coding Selecting appropriate codes When and how to use procedure modifiers Ear and Balance Procedures Nose & Sinus Procedures Oropharynx & Head & Neck Procedures Plastic & Reconstructive Procedures Coding E/M & procedures on same DOS ?
Coders’ Role in Procedure Coding • When coder does primary coding: • Review operative report – Operation performed section is only the starting point – Must review details of op report to confirm accuracy of operative designation – Then select appropriate code(s) • If any question of documentation or coding, must review with physician
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