Example: dental hygienist

Coding Laboratory Services - AHIMA

Coding Laboratory Services Audio Seminar/Webinar June 4, 2009. Practical Tools for Seminar Learning Copyright 2009 American Health Information Management Association. All rights reserved. Disclaimer The American Health Information Management Association makes no representation or guarantee with respect to the contents herein and specifically disclaims any implied guarantee of suitability for any specific purpose. AHIMA has no liability or responsibility to any person or entity with respect to any loss or damage caused by the use of this audio seminar, including but not limited to any loss of revenue, interruption of service, loss of business, or indirect damages resulting from the use of this program. AHIMA makes no guarantee that the use of this program will prevent differences of opinion or disputes with Medicare or other third party payers as to the amount that will be paid to providers of service.

Diana Medal, MA, RHIA, CCS, CPC, CCS-P Diana Medal is a compliance practice leader in the care delivery section of Kaiser Permanente’s national Compliance, Ethics, and Integrity team, where she is responsible for coordinating coding compliance training and supporting coding compliance audits.

Tags:

  Training, Coding, Ahima

Information

Domain:

Source:

Link to this page:

Please notify us if you found a problem with this document:

Other abuse

Transcription of Coding Laboratory Services - AHIMA

1 Coding Laboratory Services Audio Seminar/Webinar June 4, 2009. Practical Tools for Seminar Learning Copyright 2009 American Health Information Management Association. All rights reserved. Disclaimer The American Health Information Management Association makes no representation or guarantee with respect to the contents herein and specifically disclaims any implied guarantee of suitability for any specific purpose. AHIMA has no liability or responsibility to any person or entity with respect to any loss or damage caused by the use of this audio seminar, including but not limited to any loss of revenue, interruption of service, loss of business, or indirect damages resulting from the use of this program. AHIMA makes no guarantee that the use of this program will prevent differences of opinion or disputes with Medicare or other third party payers as to the amount that will be paid to providers of service.

2 CPT five digit codes, nomenclature, and other data are copyright 2009. American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values or related listings are included in CPT . The AMA. assumes no liability for the data contained herein. As a provider of continuing education the American Health Information Management Association ( AHIMA ) must assure balance, independence, objectivity and scientific rigor in all of its endeavors. AHIMA is solely responsible for control of program objectives and content and the selection of presenters. All speakers and planning committee members are expected to disclose to the audience: (1) any significant financial interest or other relationships with the manufacturer(s) or provider(s) of any commercial product(s) or Services (s) discussed in an educational presentation; (2) any significant financial interest or other relationship with any companies providing commercial support for the activity; and (3) if the presentation will include discussion of investigational or unlabeled uses of a product.

3 The intent of this requirement is not to prevent a speaker with commercial affiliations from presenting, but rather to provide the participants with information from which they may make their own judgments. The faculty has reported no vested interests or disclosures regarding this presentation. AHIMA 2009 Audio Seminar Series i American Health Information Management Association 233 N. Michigan Ave., 21st Floor, Chicago, Illinois Faculty Betty Hatten, MHS, MT. Betty Hatten is a manager in Huron Consulting Group's Clinical Research Solutions and Healthcare Compliance practice. Ms Hatten is a 40 year veteran of the healthcare industry, including the past 11 as a healthcare consultant focusing on Coding and compliance, charge capture, performance improvement, and chargemaster development and maintenance.

4 A medical technologist for 28 years, her experience includes clinical laboratories, genetics and transplant labs, in vitro fertilization labs, educator, and Laboratory administrative director. Diana Medal, MA, RHIA, CCS, CPC, CCS-P. Diana Medal is a compliance practice leader in the care delivery section of Kaiser Permanente's national Compliance, Ethics, and Integrity team, where she is responsible for coordinating Coding compliance training and supporting Coding compliance audits. Ms Medal was previously assistant professor of health information administration at Loma Linda University. She also participated in global distance instruction for Loma Linda, as medical terminology instructor for physical and occupational therapy students in Yokkaichi, Japan. AHIMA 2009 Audio Seminar Series ii Table of Contents Disclaimer.

5 I Faculty .. ii The Objectives .. 1. The Agenda .. 1. Comparison of Organ & Disease Panels .. 2. Lab Coding Tips .. 3. Online, Free, Lab Coding Reference .. 4. Using the Reference Lab Website .. 4. Coding Tip: Always Validate Testing Methods: Labs Vary .. 5. 2009 CPT 5-7. HCPCS Code Selection .. 7. Polling Question #1 Source of Diagnostic Information .. 8. Official Coding 8. Official Coding Guidelines Diagnostic Services Only ..9-10. Coding for Physician Billing Proposed New Codes for FY 2010 ..11. Proposed Invalid Codes for FY 2010 ..11. Pathologist's Interpretation of a Pap Smear ..12. Papanicolaou Test Reconfirmation ..12. Abnormal Cytologic Smear of Anus ..13. Other Codes Associated with Anal Pap Smear ..13. Diagnosis from Ordering Physician vs. Pathologist for Pathologist Claim.

6 14. Diagnosis for Urine Culture ..14. Diagnosis for Complete Blood Count (CBC) ..15. Diagnosis for Monitoring Effects of Long-term Use of Drugs ..15. Clinical Laboratory Fee Schedule .. 16-17. Physician Fee Schedule .. 17-18. Reimbursement for OPPS Hospital Lab Tests that are Assigned APCs ..18. Reimbursement for OPPS Hospital Addendum B: OPPS Reimbursement ..19. Status Indicator Definitions ..20. Billing for End Stage Renal Disease (ESRD) Related Laboratory Tests .. 20-21. Composite Rate Tests ..22. Polling Question #2 The Semicolon and Modifiers ..22. National Correct Coding Initiative ..23. Do these 2 Indented Codes Need a Modifier? .. 23-24. Modifier -59 Distinct Procedural 25-26. Polling Question #3 Use of Modifier -59 ..26. Modifier -91 Repeat Clinical Diagnostic Test ..27. -59 or -91 Case Modifier -90 Reference (Outside) Laboratory .

7 29. (CONTINUED). AHIMA 2009 Audio Seminar Series Table of Contents ESRD Modifiers: CD, CE, CF .. 29-30. OIG Work Plan (FY 2009)..30. Why Doctors Order Lab Tests? ..31. Information Available for Each Reason ..31. The Need for ABNs: Variable ..32. Screening Tests: Legislative Provisions ..32. Beneficiary Notices Initiative (BNI) ..33. The CMSR 131 .. 33-34. ABN Instructions and Options ..34. Guidelines for Coding Blood Transfusions ..35. Complete Billing of the Blood Transfusion ..35. Transfusion Medicine Case: The Facts ..36. Transfusion Medicine Case: The Answer ..36. NCCI Edits for Crossmatching ..37. Transfusion Medicine Case: The Answer ..37. Most Common Missed CPT Codes in Lab: Microbiology ..38. Aerobic and Anaerobic Cultures with Blood Cultures .. 38-39. Most Common Missed CPT Codes in Lab: Microbiology.

8 39-40. For More Information on Laboratory Coding from CPT Assistant .. 40-41. Resource/Reference List .. 41-42. Supplemental Material ..43. Other References : Lab Websites ..43. Audience Questions ..44. Audio Seminar Discussion ..44. Become an AHIMA Member Today! ..45. Audio Seminar Information Online ..45. Upcoming Audio Seminars ..46. Thank You/Evaluation Form and CE Certificate (Web Address) ..46. Appendix ..47. Resource/Reference List ..48. CE Certificate Instructions AHIMA 2009 Audio Seminar Series Coding Laboratory Services Notes/Comments/Questions The Objectives At the conclusion of today's program, the participants will be able to: 1. Select the most accurate lab CPT/HCPCS code;. 2. Locate internet resources for Coding esoteric lab procedures and profiles;. 3. Identify the appropriate payment programs for OP.

9 Lab Services including ESRD composite rate, Clinical Lab Fee schedule and OPPS APCs;. 4. Discuss CPT Coding guidelines for Laboratory Services ;. 5. Summarize the ICD-9 CM Diagnostic Coding and Reporting Guidelines for Outpatient Services ; and 6. Demonstrate the correct use of modifiers 59 and 91. 1. The Agenda 1. CPT & HCPCS Coding Overview with Coding TIPS and CAUTIONS. 2. ICD-9 Diagnosis & Procedure Coding 3. The Fee Schedules and Addendum B. 4. Lab Modifier Maze and the NCCI. 5. OIG & the Clinical Lab: Compliance Guidelines and the 2009 Work Plan 6. Deep Dive into Real Life Lab Coding Cases 2. AHIMA 2009 Audio Seminar Series 1. Coding Laboratory Services Notes/Comments/Questions Comparison of Organ & Disease Panels 3. Comparison of Organ & Disease Panels 4. AHIMA 2009 Audio Seminar Series 2.

10 Coding Laboratory Services Notes/Comments/Questions Lab Coding Tips Select Accurate 80000 Codes Adjectives and other important words Specimen , Method, Total or Free, With or W/out Manual or automated, Qual or Quant, initial, Each, first, 2-8 or 9-15 . Antibody codes start with 86xxx; Antigens start with 87xxx 5. Lab Coding Tips When you need more than one code Charge explosions Panels , Profiles and Reflex Tests: Maintaining Compliance When there isn't a code Avoid the unlisted procedure code: Use Method Codes How to find esoteric testing codes 6. AHIMA 2009 Audio Seminar Series 3. Coding Laboratory Services Notes/Comments/Questions Online, Free, Lab Coding Reference Type your Query or select from the alphabet 7. Using the Reference Lab Website Queried Drug Screen . 8. AHIMA 2009 Audio Seminar Series 4.


Related search queries