Scheduling, Billing, and Insurance

Stream Scheduling

Regular scheduling; appoint patients in 15 minute intervals

Double-Booking

Two patients are booked simultaneously

Wave Scheduling

For late arrivals; schedules three patients simultaneously at the beginning of each half hour

Modified wave scheduling

Two to three patients are scheduled at the top of each hour, and all other call-ins may come in and wait their turn

Open booking schedule

First-come, first-served basis

Clustering / catergorization

All patients of one type are seen in a clinic on predetermined days/parts of days to increase efficiency

HCPCS Level II G Codes

Procedures/professional services

HCPCS Level II E Codes

Durable medical equipment

HCPCS Level II L Codes

Orthotic and prosthetic procedures and devices

HCPCS Level II P Codes

Pathology and lab services

CPT Catergory I Codes

Mandatory for reporting and reimbursement of procedures or services

CPT Catergory II Codes

Optional, supplemental, performance measures

CPT Catergory III Codes

Temporary codes for reporting emerging or experimental procedures and services