Before Posting Word Help Questions
please read the pinned/locked threads found
at the TOP OF THE WORD HELP FORUM! You can find them HERE


Search
Word Help
New MTs
Hot Zone
Grammar/Style
MT Biz
Who's Online
5 registered (shiny, 4 invisible) and 4 anonymous users online.
August
Su M Tu W Th F Sa
1 2
3 4 5 6 7 8 9
10 11 12 13 14 15 16
17 18 19 20 21 22 23
24 25 26 27 28 29 30
31
Page 1 of 1 1
Topic Options
#3483 - 03/22/04 02:45 PM coding and billing questions
bennygirl
Junior Member


Registered: 04/23/01
Posts: 4
Loc: Pocono Mts.
Hi all, I do not usually post, but need some input. I currently work for a family physician
and have an opportunity to learn his coding and billing in our office. Being an MT student, I do know how much work has gone in to my current studies and am uncertain that I can do this without formal training. My question is do I just jump in and give it a try? I will have some guidance but I do know the importance of formal training. Input? TIA, bg

Top
#3484 - 03/22/04 03:18 PM Re: coding and billing questions
Linda Andrews CMT Moderator
Moderator-Andrews School


Registered: 12/31/69
Posts: 4950
Loc: Oklahoma City, OK US
If you are working for a family physician, you can probably jump into it and do okay.

The doctor has probably attended coding conferences and/or has a limited number of exams that are used regularly. It's probably all spelled out on a "superbill" to make it even easier. It would be more of a medical billing clerk duty rather than a medical coding position since you would be doing very limited actual coding. I think you can do it.

Top
#3485 - 03/22/04 03:34 PM Re: coding and billing questions
bennygirl
Junior Member


Registered: 04/23/01
Posts: 4
Loc: Pocono Mts.
Linda: Thanks for answering so quickly, as I must render an answer relatively quickly. What is a "superbill"? I figure they must have some faith in me to ask me to learn on the job before they hire out. I am one of those people who usually loves a challange, but insurance issues scare the daylights out of me. Thanks again, bg
Top
#3486 - 03/23/04 12:51 PM Re: coding and billing questions
Sharon Hu
Member


Registered: 11/12/03
Posts: 7
Loc: Columbia, IL
A superbill is a form that the Dr. fills out telling the staff what was done to the patient. They are usually preprinted and he/she will just check off what was done. This is then what is billed to the insurance company. Good luck...I know you can do it.
Top
#3487 - 03/23/04 03:25 PM Re: coding and billing questions
bennygirl
Junior Member


Registered: 04/23/01
Posts: 4
Loc: Pocono Mts.
Thank you for your votes of confidence. I am going to tell them tomorrow that I will give it a shot. Thank you both for boosting me up!!!
bennygirl

Top
#3488 - 03/23/04 07:46 PM Re: coding and billing questions
Redpen
Member


Registered: 12/31/69
Posts: 914
Loc: Virtual Oklahoma!
Oh, yes! This is something you should not pass up!

The coding you'll do will be limited in scope, because of the type of office, but it will be more "billing" and not so much "coding." That makes it easier.

What you learn on the job can tide you over for now. When you're ready to learn all of it for real, then you can take a course.

Most coders in the past started out just that same way.

Top
#3489 - 05/01/04 03:37 PM Re: coding and billing questions
law
Member


Registered: 10/06/99
Posts: 2938
Loc: Acts of God Theme Park
I've been meaning to respond to this thread for quite a while, and now I have a chance.

Family Practice coding? Limited? Hardly.

You will need to learn the gamut of CPT, ICD, and HCPCS coding. You'll be faced with coding for injections AND the materials used, for inhalation solutions and masks. You'll need to code for surgeries, as FPs often assist at anything from C-sections to orthopedics to abdominal surgery. You'll need to become familiar with nearly ALL the modifiers, as there will be office visits combine with surgical codes--there are plenty of surgical codes used in FP.

You'll need to code for initial treatment of fractures regardless of whether it's casted. And you'll need the codes for re-casting, and necessary modifiers for any done within the postop period. And strapping, etc.

You'll need to know the complexity and size of wounds that are repaired and the location of multiple lesions on different parts of the body.

If you expect that all to be placed on the superbill by the physician...think again.

You'll have to ask if there was an EKG done for a pre-op examination, if there was or was not a Pap done at a well-woman visit, and if the headache was a symptom or result of stress. The latter penalizes the patient with a 50% reduction in psych-related visits.

But...it is interesting, even fun, and the MOST IMPORTANT THING is to learn HOW to read the code books, and refer not only to specific sections, but also to the paragraphs that introduce each section, and the intro to the systems in front of those sections. The information is all there. You just need to know how to find it, and to cross-reference the alpha indices with the numeric indices.

As with transcription, limiting billing and coding to one specialty is more crippling than enabling.

Top
#3490 - 05/03/04 06:38 AM Re: coding and billing questions
Linda Andrews CMT Moderator
Moderator-Andrews School


Registered: 12/31/69
Posts: 4950
Loc: Oklahoma City, OK US
law, I'm glad you added to the topic. I'm glad to hear that in some, if not most, family practice offices, they do more than just check off items on the superbill.

It is so important for potential coders to hear that the more you know about coding, the more options and greater pay opportunities you'll have available to you.

Top
#3491 - 05/03/04 08:20 PM Re: coding and billing questions
law
Member


Registered: 10/06/99
Posts: 2938
Loc: Acts of God Theme Park
'xactly, Linda. And if there is ANY practice that relies on the best of coding in order to pay the bills, it's family practice.

A great opportunity to shine.

Top
Page 1 of 1 1


Moderator:  Linda Andrews CMT 
Hop to:


Google
Web mtchat.com
mtdesk.com

Search MT CHAT Forums

MT Desk


Medical Abbreviations
Search By Abbreviation
Search By Definition
Pharma Companies
www.medilexicon.com