Medical office management

CPT (current procedural terminology)

describes WHAT the provider did

E/M (Evaluation and Managment)

5 digit code, way to describe doctor visit and how its handled

New Patients range from what to what number

99202-99205

Established patients range from what to what number

99211-99215

What does it mean when have a higher code?

high code = more complex visit = higher reimbursement

ICD-9

Old not used, 3 digit system, number label for every illness

E codes

external causes (how the injury happened )

V codes

wellness/preventive care (a checkup)

ICD-10

Current system (more detailed, used to explain WHY patient needed care)

NEC

no exact code exists

NOS

not enough details

Upcoding

billing for moe exposing service than performed (illegal-fraud)

Downcoding

billing for less expensive service , still fraud (and loses money)

Bundling

combining services into one code

New vs Established patient

new= not seen in 3 years , established= seen within 3 years

Chief complaint (CC)

main reason patient came in (required for coding)

Cashiers Checks

issued by the bank, guaranteed funds

Postdated check

written for a future date, cannot be cashed before that date

Stable Check

older than 6 months= not valid

Check register

record of all checks written

Bank statement

monthly record from bank

Agent

person acting on behalf of another

When is check register and bank statement done?

every 30 days

Double- Entry Accounting

action has 2 parts , every time money moves u write it down twice

Assets

Liabilities + Owners Equity

Assets

what is owned

Liabilities

what is owed

Owners Equity

owners share

Balance sheet

shows how money goes in and comes out (assets, liabilities, equity)

Double- entry

has checks and balances (correct system )

Single- entry

has no error checking

Unbundling

separate charges