false
Catalog
Discussion Guide: Foundations of Coding and Billin ...
Discussion Guide: Advanced Coding and Billing
Discussion Guide: Advanced Coding and Billing
Back to course
Pdf Summary
The Home Centered Care Institute (HCCI) offers a "Foundations of Coding and Billing for House Calls" discussion guide intended to reinforce proper documentation practices to ensure positive audit outcomes. Designed for those who have completed HCCI’s online course, the discussion should not exceed 50 minutes and is supported by various materials such as the Next Steps handout and optionally, a flipchart.<br /><br />**Overview:**<br /><br />- **Purpose:** Promote accurate documentation reflecting medical necessity.<br />- **Audience:** Those experienced with the principles of coding and billing for house calls.<br />- **Learning Objectives:**<br /> - Clarify what constitutes "medical necessity" according to the Centers for Medicare & Medicaid Services (CMS).<br /> - Describe essential documentation components for house call visits while avoiding common mistakes.<br /> - Implement best practices for billing and coding to mitigate audit risks.<br /><br />**Agenda:**<br /><br />1. **Introduction (5 min):**<br /> - Discuss whether home-based settings are more vulnerable to documentation issues compared to outpatient settings.<br /> <br />2. **Define Medical Necessity (10 min):**<br /> - Examine three elements to demonstrate medical necessity: generally accepted standards, clinically appropriate services, and avoiding convenience-based justification.<br /> <br />3. **Documentation Components (20 min):**<br /> - Discuss components such as Chief Complaint, Statement of Necessity, and History of Present Illness. <br /> - Focus on practical examples and strategies for overcoming documentation challenges and avoiding “cloning” (copy-pasting previous records).<br /> <br />4. **Billing and Coding (10 min):**<br /> - Explore recommended training, proper time billing, and identifying documentation “red flags” per CMS auditors. <br /> - Discuss scenarios like stable patient visits or simultaneous billing for Evaluation and Monitoring and minor procedures.<br /> <br />5. **Debrief (5 min):**<br /> - Reflect on current practices needing improvement, confirmed strategies worth continuing, and commitments to action based on the Next Steps handout.<br /><br />The purpose of this structured discussion is to ensure accurate documentation and billing practices, ultimately protecting against negative outcomes during audits.
Keywords
Home Centered Care Institute
HCCI
Foundations of Coding and Billing
House Calls
Documentation Practices
Medical Necessity
CMS Guidelines
Audit Outcomes
Billing and Coding
Next Steps Handout
©2022 Home Centered Care Institute. All rights reserved.
×
Please select your language
1
English