Diagnosis Code:

Dear Dr. Sam. 

First, I would like to thank you for all your hard work and dedication to our practice. 

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During the review, as asked. I have looked at the following: Schedule, Charting, E/M Codes, and procedure coding, preventative counseling, and   as our CMS1500 which is used to submit the billing. 

Schedule: How can the provider increase his/her revenue with the scheduling portion of the clinic? 

  • Increasing patient load. A provider needs to see about 15 patients per day vs. less than 15 per day. 
  • What is the impact of seeing 4 vs. 15 what is the revenue value you need to explain?

E/M down coding vs. coding appropriately. 

  • Each provider needs to code the visit according to the written documentation and all elements supported in the chart. 
  • Charting elements: require the HPI, ROS, PFSH, Exam and Medical Decision making process?

What is counseling on preventive medicine? 

  • when a provider reviews with the patients, the pertinent information about his/her health and the outcome of following medication regimen

Procedure Codes:

  • What are procedure codes and how are they important for increasing revenue? 
  •  

Diagnosis Code: 

  • How does the provider assign a DX code to the patient?  

CMS 1500- 

  • what is required on the CMS: 
  • Provider information, 
  • patient information and location, 
  •  taxonomy and NPI.
  • Submit the claim electronically:

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