Links: FCG Coding Study
New Mexico Orthopaedics Coding Study
Orthopedics Coding Study
San Francisco General Hospital
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ProVation MD allows physicians to quickly generate complete procedure notes at the point of care. As the physician makes menu selections, the software’s powerful coding engine generates the associated CPT and ICD codes, as well as CCI edits. The physician then reviews and accepts the codes. The resulting procedure note is ready for coder review and same day billing. This drives revenue recovery because physicians and facilities are actually reimbursed for the procedures they perform – with no worries about accidental overcoding or defensive undercoding. HIM personnel realize greater accuracy and productivity as a result of the ProVation coder-ready note.
Coding Highlights
- Coding is driven by medical content selection. ProVation’s coding engine maps clinical documentation directly to billing codes to ensure proper reimbursement. As physicians create or edit procedure documentation, the coding engine responds by calculating codes based directly upon the documentation
- Complete documentation, including all nuances required for proper coding, ensure full and accurate reimbursement for both facility and technical fees
- The ProVation coding engine applies complex CPT-4 & ICD9 coding rules and incorporates CCI edits; coding updates are delivered quarterly.
- ProVation’s full-time team of certified coders review content and work directly with MDs to create a coding ready note
- Protects against RAC fines by ensuring that professional and facility codes match, documentation supports coding, and electronic documentation is easily accessible for audits and review.
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