Hospitalist Coding –
Hospital Medicine Coding

View Sample Report: Hospitalist Audit

Hospitalist Coding –Hospital Medicine Coding Background

Hospital Medicine is a new clinical specialty.  Hospitalists did not exist when the DRG and RBRVU systems were created.  It combines elements of almost every other clinical specialty to direct the treatment of acutely ill inpatients.  The fact that it is so broad in scope, yet so focused in its goals means that Hospital Medicine coding presents a series of unique challenges.  Hospitalists’ coders need to be familiar with essentially all of the internal medicine subspecialties and have a thorough understanding of a wide range of conditions and related treatments, as well as the complications that might occur and/or common comorbidities.  Knowing the intricacies of the Medical Decision Making components of the service is pivotal to accurate hospitalist coding.  The Coding Network’s hospitalist coding team, which is part of our Evaluation and Management Coding Division, offers you:

  • Leadership by a nationally known Evaluation and Management coding and reimbursement expert who is both a certified coder and a certified instructor of coding.
  • 25 years experience coding for and training Evaluation and Management physicians to improve documentation and coding compliance.
  • A fund-of-knowledge built by coding over 25,000 Evaluation and Management encounters per month, including hospitalists, for the last six years.

Hospitalist Coding Need

  • Hospitalist coding encompasses essentially every clinical specialty and subspecialty. This makes hospitalist coding algorithmically more complex, particularly for the Medical Decision Making component of Evaluation and Management coding.  What works for one subspecialty does not apply to another. Hospital medicine specific training and experience is critical.
  • Experienced and skilled hospitalist coders are hard to find and can demand high salaries.
  • Few hospitalist coders have the certified procedural coder designation, a symbol career commitment and of quality coding.
  • Coding guidelines for hospital inpatient services are complex, change often and errors can be costly to the practice or create major compliance audit exposure.
  • Coder turnover creates cash flow peaks and valleys.
  • With so few coders specializing in hospitalist coding, it is difficult to find and hire experienced hospital medicine coders, even in large metropolitan areas.  Medical practices and hospitals in smaller communities and tight labor markets have trouble filling openings.

 

Hospitalist Coding Solution

  • TCN’s team of hospitalist coders have the necessary specialty subspecialty coding experience to accurately code for hospitalists, including:
    • Anesthesiology Coding
    • Cardiology Evaluation and Management Coding
    • Endocrinology Evaluation and Management Coding
    • Gastroenterology Evaluation and Management Coding
    • Geriatrics Evaluation and Management Coding
    • Hematology-Oncology Evaluation and Management Coding
    • Immunology Evaluation and Management Coding  
    • Infectious Disease Evaluation and Management Coding
    • Nephrology Evaluation and Management Coding
    • Neurology Evaluation and Management Coding
    • Pain Management Evaluation and Management Coding
    • Pediatrics Evaluation and Management Coding
    • Pulmonology Evaluation and Management Coding
    • Rheumatology Evaluation and Management Coding
    • Surgery Evaluation and Management Coding
    • Trauma and Burn Evaluation and Management Coding
    • Urology Evaluation and Management Coding
  • Our certified and specialty-experienced hospitalist coders will code your services within 2-to-3 workdays when sent consistently.
  • We will identify documentation deficiencies to help improve the quality of your medical records and optimize reimbursement.
  • Our volume-driven per-service pricing model is cost effective and our team of coders stabilizes cash flow performance.
  • Reduce compliance audit exposure due to inadvertent coding errors or persistent errors by noncompliant physicians.
  • A practical and affordable solution for your hospitalist coding needs to improve coding and documentation.

Hospitalist Coding Services

  • Temporary or ongoing hospitalist coding coverage for all or part of your caseload.
  • Backlog coding resolution services.
  • Compliance and missed revenue audits.
  • Charge-ticket (“superbill”) updates and redesigns to stay current with coding changes.
  • Physician documentation and code selection training.
  • Physician group documentation deficiency reporting.
  • Coding helpline services.
  • Hospital coding “helpline” services.
  • OIG and RAC audit defense.

Latest Blog Posts:

  • 022017 Reza Accenture 712

1 in 4 health consumers have had their PHI stolen

February 21st, 2017|Comments Off on 1 in 4 health consumers have had their PHI stolen

26% of United States health consumers have had their PHI stolen from healthcare systems, according to the results of a study from Accenture, released in Orlando at HIMSS17. The study reveals that 50% of people […]

  • shutterstock_177013181

Healthcare Provider will pay $60 Million Settlement for Medicare and Medicaid False Claims

February 13th, 2017|Comments Off on Healthcare Provider will pay $60 Million Settlement for Medicare and Medicaid False Claims

TeamHealth Holdings, a major U.S. hospital service provider, has agreed to resolve allegations that it violated the False Claims Act by billing Medicare, Medicaid, the DHA, and the Federal EHB Program for higher and more […]

  • Fraudulent-Health-Insurance-Claims

Federal government reclaims $3.3B+ in fraudulent healthcare claims

February 1st, 2017|Comments Off on Federal government reclaims $3.3B+ in fraudulent healthcare claims

The Office of the Inspector General has reported that the federal government has recovered over $3 billion in fraudulent healthcare claims in the 2016 fiscal year.

Read More Here

  • mb2-logo-name

Texas Dental Management Firm Agree to Pay $8.45 Million to Resolve Allegations

January 13th, 2017|Comments Off on Texas Dental Management Firm Agree to Pay $8.45 Million to Resolve Allegations

Texas-based MB2 Dental Solutions (MB2), 21 pediatric dental practices affiliated with them, as well as their owners and marketing chief, all have agreed to pay the US and Texas Medicaid $8.45 million to settle allegations […]