Outpatient Surgery Magazine - Subscribers

No More Empty Beds - Outpatient Surgery Magazine - February 2020

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://magazine.outpatientsurgery.net/i/1208631

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2 4 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • F E B R U A R Y 2 0 2 0 O ne of your top priorities as a surgical administrator is to maximize reimburse- ments for the services performed at your facility. That's no small task when dealing with complex, bun- dled payment arrange- ments — a group of procedures covered by a single, compre- hensive CPT code. There are two meth- ods to use when cod- ing bundled proce- dures: • National Correct Coding Initiative (NCCI) edit bundling. This is CMS's strict set of bundling guidance, which lets providers know which CPT codes may be bundled when their procedures are performed in the same outpatient surgical setting. On top of federal payers, many commercial payers have adopted this bundling guidance because it's easy to apply and clearly spelled out. Don't Leave Money on the Table The bundling guidance you follow impacts your reimbursement rates. Coding & Billing Bob Lathrop, CPC, CPC-I, CASCC • SEPARATE CHARGES Coding according to the American Medical Association guide- lines could let you earn more for performing two shoulder procedures at one time.

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