Orthopedics Medical Billing Services

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• Orthopedics Medical Billing Services

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FY 2021 Inpatient Psychiatric Facilities
Prospective Payment System (IPF PPS)

• Every orthopedic practice faces challenges in
  coding and billing. Professional coding and
  billing expertise is necessary to code and bill
  orthopedic surgery claims. Orthopedic surgery
  coding and billing is complex and requires
  experienced, trained and certified coders to
  accurately code the procedures such as surgical
  obturator prosthesis, nasomaxillary complex
  fracture, excision of posterior vertebral
  component, bony lesion, spinal arthrodesis,
  spinal deformity, amputation, joint replacement,
  ligament fractures, fractures, aponeurosis,
  tumor, bone grafting, intramuscular etc.
• Medisys Data Solutions brings years of orthopedic
  coding and billing experience to your practice.
  Your Orthopedic practice needs the skills and
  experience to handle complex surgical procedures.
  We at Medisys Data Solutions are recognized in
  orthopedic coding and billing.
• PT 2018 changes for Orthopedic Surgery There
  have been changes in CPT 2018 to the
  Musculoskeletal System Codes (20005-29999). There
  are a number of instructional notes added to
  clarify appropriate reporting of certain codes.

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FY 2021 Inpatient Psychiatric Facilities
Prospective Payment System (IPF PPS)

• Monitoring updates on orthopedic coding Keeping
  abreast with the coding updates by maintaining
  ICD 10 CM, PCS, HCPCS, CPT code books is
  imperative. CMS website publishes frequent
  updates to the coding rules and guidelines. The
  AAOS (American Association of Orthopedic
  Surgeons) and AOA (American Orthopedic
  Association) publishes frequent newsletters and
  journals. Frequent reference to CMS websites and
  subscriptions to articles will keep the providers
  updated on Orthopedic surgery coding and billing.
• Accurate Clinical Documentation Incorrect or
  inaccurate documentation delays the reimbursement
  cycle of claims. Documentation gaps in Orthopedic
  surgical procedures may lead to revenue losses
  for healthcare providers.
• Quality checks and audits Regular quality checks
  and frequent audits of coding is a must to avoid
  repetition of errors. There needs to be open
  communication between physicians, coders,
  billers. Orthopedic Surgeons need to be educated
  by coders and billers frequently used ICD and CPT
  codes by the practice and denials/rejections.
• Upcoding Coders and billers entries in the
  practice management software should match with
  the actual diagnosis and procedure codes done by
  the Orthopedic surgeon. The coders have to be
  careful while coding expensive procedures which
  are unnecessarily billed than what was actually
  performed by the Orthopedic surgeon.