by Cloude Raine


Electronic health records are defined as "longitudinal electronic records" of patient health information that includes demographics, problems, progress notes, past medical history, vital signs, medications, laboratory work, radiology reports, and immunizations -- basically, anything that is being included a traditional medical record, in one easily accessible place.

Master the single code approach for Fem/Pop Coding You should get familiar with the following new femoral/popliteal service codes and remember that all of the codes include angioplasty in the same vessel when that service is performed: * Angioplasty: 37224 - * Atherectomy (and angioplasty): 37225 --... * Stent (and angioplasty): 37226 - * Stent and atherectomy (and angioplasty): 37227

Streamlined information gathering and retrieval For one, it makes information gathering and retrieval much quicker and easier. Clinicians can have access to patient histories and other information at their fingertips. In addition, as new data is entered into the system, it instantly becomes part of the entire patient record and is available to subsequent clinicians for use in their decision-making processes.

Better health care with streamlined information delivery Because the information delivery and retrieval is streamlined and automated, clinicians can see at a glance previous patient visits to the doctor, treatments, and so on. They can see patient histories, the treatments that worked and those that didn't. When supportive evidence is included, physicians can review the reasons for the decisions they made. Physicians can make more informed decisions, because electronic health records allow health care practitioners to have a comprehensive view of patients' histories. With this type of information and history available, patient care quality improves, and medical errors are less likely to happen.

In these scenarios, you should code for the most difficult service. For instance: If the surgeon carries out angioplasty in the left popliteal artery and atherectomy in the left common femoral, you should go for only atherectomy code 37225.

Remember: The codes are unilateral, meaning they apply to a service on a single side of the body. According to CPT, if the doctor treats the identical territory (such as femoral/popliteal) in both legs at the same session, you should go for modifier 59 (Distinct procedural service) to show both legs are involved. However you should watch out for payers' modifier preferences. Some may want you to use modifier 50, modifiers RT and LT or some combination of modifiers for procedures on both legs.

Lower transcription costs Electronic medical records eliminate some of the need for transcription, resulting in significant savings for practices, clinics, and other healthcare facilities. Reduced storage costs Because it takes significant storage space to store paper records, electronic versions are significantly cheaper to "store" than hard copy records are. A Boston medical center that sees 750,000 patients a year, for example, has estimated that it will save $6 million annually simply by converting to electronic health records from paper ones.

The owner of MSO Washington Inc. has not admitted liability in the settlement agreement and so it may be possible that the suit was found upon billing errors rather than intentional fraud. This only points to the necessities of hiring and keeping on staff well qualified medical billing services specialists who can help the practice to avoid the potential of being found fraudulent. Quality personnel are also able to improve reimbursement while maintaining legitimate medical billing services coding to insurance companies.




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