{"id":839,"date":"2013-09-23T11:17:40","date_gmt":"2013-09-23T11:17:40","guid":{"rendered":"http:\/\/www.medicalbillingstar.com\/blog\/?p=839"},"modified":"2017-02-14T07:17:38","modified_gmt":"2017-02-14T07:17:38","slug":"rest-assured-coding-howlers-in-oncology-practice-are-removable","status":"publish","type":"post","link":"https:\/\/www.medicalbillingstar.com\/blog\/rest-assured-coding-howlers-in-oncology-practice-are-removable\/","title":{"rendered":"Rest Assured &#8211; Coding Howlers in Oncology Practice are Removable"},"content":{"rendered":"<p style=\"text-align: justify;\"><a href=\"https:\/\/www.medicalbillingstar.com\/blog\/wp-content\/uploads\/2013\/09\/clinic-medical.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-842\" src=\"https:\/\/www.medicalbillingstar.com\/blog\/wp-content\/uploads\/2013\/09\/clinic-medical.png\" alt=\"clinic-medical\" width=\"728\" height=\"388\" srcset=\"https:\/\/www.medicalbillingstar.com\/blog\/wp-content\/uploads\/2013\/09\/clinic-medical.png 728w, https:\/\/www.medicalbillingstar.com\/blog\/wp-content\/uploads\/2013\/09\/clinic-medical-300x159.png 300w, https:\/\/www.medicalbillingstar.com\/blog\/wp-content\/uploads\/2013\/09\/clinic-medical-620x330.png 620w\" sizes=\"auto, (max-width: 728px) 100vw, 728px\" \/><\/a><\/p>\n<p style=\"text-align: justify;\"><strong>Oncology<\/strong> is a clinically-focused specialty that is undergoing frequent technological and process updates. It requires a high degree of physician&#8217;s skill, experience and the urge to learn to stay tuned with the revisions related to documentation, coding, billing, and revenue cycle management (RCM).<\/p>\n<h2 style=\"text-align: justify;\"><span style=\"color: #ff6600;\"><b>Common Oncology-Specific Coding Errors :<\/b><\/span><\/h2>\n<p style=\"text-align: justify;\"><strong>Errors abound. Some of the many are:<\/strong><\/p>\n<ul style=\"text-align: justify;\">\n<li>1. Coders are not up-to-date with on-going changes in codes and related modifiers.<\/li>\n<li>2. Failure to capture correct levels of CPT (Common Procedural Terminology) codes.<\/li>\n<li>3. Under-coding and over-coding errors.<\/li>\n<li>4. Misusing modifiers, using of wrong modifier and mixing up of modifiers.<\/li>\n<li>5. Coders are not conversant with <a title=\"Oncology Medical Billing Services\" href=\"https:\/\/www.medicalbillingstar.com\/oncology-billing.html\">coding for specialist oncology services<\/a> such as bone marrow procedures, transplantations, and blood transfusions.<\/li>\n<li>6. Coders round off drug administration times instead of noting the exact time.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong>What the Experts Have to Say :<\/strong><\/p>\n<p style=\"text-align: justify;\">According to oncologists, correct <a title=\"Medical Coding Services\" href=\"https:\/\/www.medicalbillingstar.com\/medical-coding.html\">coding is the main ingredient for successful practice<\/a>. The complexity and regular updating of coding system contribute to unintended coding errors. According to the American Society of Clinical Oncology (ASCO), failure to complete the code capture at the time when oncology procedures are provided is common.<\/p>\n<p style=\"text-align: justify;\">Continued usage of codes that have been eliminated by Medicare continues to be the bane of the US oncologists. A survey conducted by two nationally recognized experts in oncology practice management-Roberta Buell from OnPoint Oncology LLC and Patrica Falconer from Health Options, on behalf of the <strong>Association of Northern California Oncologists (ANCO), revealed that only 1 out of the 14 surveyed practices had updated their oncologists about the elimination of consultation codes by Medicare.<\/strong><\/p>\n<p style=\"text-align: justify;\">According to Cynthia Stewart, coding education coordinator president of AAPC, problems arise for coders when physicians fail to document the steps they went through to arrive at a diagnosis. Enos further clarifies that coders need to understand the depth or extent of medical decision making. Medical decision depends on complete documentation to make a &#8220;medical necessity linkage&#8221; between the procedure performed and the diagnosis code.<\/p>\n<h2 style=\"text-align: justify;\"><span style=\"color: #ff6600;\"><b>Tips to Ensure Correct Coding :<\/b><\/span><\/h2>\n<p style=\"text-align: justify;\"><strong>There are umpteen of them &#8211; to name a few :<\/strong><\/p>\n<ul style=\"text-align: justify;\">\n<li>1. Be aware of on-going changes in codes and modifiers.<\/li>\n<li>2. Continually train oncologists and coders on coding mistakes and consequences, along with how to avoid the mistakes.<\/li>\n<li><b>3. Do not neglect equipment or instrument used : <\/b>Be conversant with recent codes related to the equipment or instrument (e.g. for radiation oncology) used to provide oncology services.<\/li>\n<li>4. Beware of the tendency to code according to the complexity of the diagnosis, rather than the extent of decision making involved.<\/li>\n<li>5. Be aware of new or established (existing) office visit codes and in-patient visit codes established by Centres for Medicare and Medicaid Services (CMS).<\/li>\n<li>6. Make sure you understand the billing rules and regulations for Medicare and private payers. In fact, with the high cost of new cancer therapies, many oncology practices are now verifying insurance information before every treatment.<b><\/b><\/li>\n<li>7. The American Medical Association\u2019s (AMA) multi-specialty Relative-Value Update Committee (RUC) frequently reviews and updates oncology codes. Keep in sync with these changes.<\/li>\n<li>8. Oncology clinics and hospitals will find the guidebook on billing and coding for oncology-related services offered by American Society of Clinical Oncology (ACCO) very useful.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify;\"><span style=\"color: #ff6600;\"><b>Escapade from the Oncology Coding Malaise :<\/b><\/span><\/h2>\n<p style=\"text-align: justify;\">Perplexed and unsettled due to plethora of oncological coding errors! Don\u2019t panic. Be assured by adopting a prudent approach by outsourcing or rather \u201cRight Sourcing\u201d your coding worries to <strong>MedicalBillingStar<\/strong>,as we :<b><\/b><\/p>\n<ul style=\"text-align: justify;\">\n<li>A. Are an established, experienced, and knowledgeable one-shop outsourcing vendor for oncology coding in the US.<\/li>\n<li>B. Are conversant with intricacies of oncology coding practices and comply with medical coding systems such as <strong>International Classification of Diseases (ICD), Current Procedure Technology (CPT), and Healthcare Common Procedure Coding System (HCPCS)<\/strong>.<\/li>\n<li>C.Understand your EMR and work with any platform, with security features and options. <strong>You are free to select EMR\/EHR of your choice<\/strong> and we will cover the involved expenses.<\/li>\n<\/ul>\n<p>Here&#8217;s our presentation on <strong>8 Oncology Coding Tips !<\/strong><\/p>\n<p><iframe loading=\"lazy\" src=\"http:\/\/www.slideshare.net\/slideshow\/embed_code\/26487929\" width=\"476\" height=\"400\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe><\/p>\n<!-- Begin Yuzo --><div class='yuzo_related_post style-1'  data-version='5.12.75'><!-- without result --><div class='yuzo_clearfixed yuzo__title yuzo__title'><h3>Related Post<\/h3><\/div>\n\t\t\t\t\t\t  <div class=\"relatedthumb \" style=\"width:125px;float:left;overflow:hidden;\">  \n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t  <a  href=\"https:\/\/www.medicalbillingstar.com\/blog\/macra-uncovered-facts-and-rcm-challenges\/\"  >\n\t\t\t\t\t\t\t\t\t  <div class=\"yuzo-img-wrap \" style=\"width: 125px;height:90px;\">\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<div class=\"yuzo-img\" style=\"background:url('https:\/\/www.medicalbillingstar.com\/images\/infographics\/Facts-MACRA-RCM-Challenges.png') 50% 50% no-repeat;width: 125px;height:90px;margin-bottom: 5px;background-size: cover; 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It requires a high degree of physician&#8217;s skill, experience and the urge to learn to stay tuned with the revisions related to documentation, coding, billing, and revenue cycle management (RCM). Common Oncology-Specific Coding Errors : Errors abound. Some of the many are: [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":842,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[137],"tags":[7,244,245,243],"class_list":{"0":"post-839","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-medical-coding","8":"tag-medical-coding-services","9":"tag-medical-oncology-billing-coding","10":"tag-oncology-emr-support-services","11":"tag-oncology-medical-billing-services","12":"entry"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Coding Howlers in Oncology Practice are Removable<\/title>\n<meta name=\"description\" content=\"Oncology is a clinically-focused specialty that is undergoing frequent technological and process updates.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.medicalbillingstar.com\/blog\/rest-assured-coding-howlers-in-oncology-practice-are-removable\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Coding Howlers in Oncology Practice are Removable\" \/>\n<meta property=\"og:description\" content=\"Oncology is a clinically-focused specialty that is undergoing frequent technological and process updates.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.medicalbillingstar.com\/blog\/rest-assured-coding-howlers-in-oncology-practice-are-removable\/\" \/>\n<meta property=\"og:site_name\" content=\"Medical Billing Services | Medical Billing Company Checklist\" \/>\n<meta property=\"article:author\" content=\"https:\/\/www.facebook.com\/ango.mark\" \/>\n<meta property=\"article:published_time\" content=\"2013-09-23T11:17:40+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2017-02-14T07:17:38+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.medicalbillingstar.com\/blog\/wp-content\/uploads\/2013\/09\/clinic-medical.png\" \/>\n\t<meta property=\"og:image:width\" content=\"728\" \/>\n\t<meta property=\"og:image:height\" content=\"388\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Ango Mark\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Ango Mark\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.medicalbillingstar.com\/blog\/rest-assured-coding-howlers-in-oncology-practice-are-removable\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.medicalbillingstar.com\/blog\/rest-assured-coding-howlers-in-oncology-practice-are-removable\/\"},\"author\":{\"name\":\"Ango Mark\",\"@id\":\"https:\/\/www.medicalbillingstar.com\/blog\/#\/schema\/person\/71b8d731d6012a53ac965dd64ecc0793\"},\"headline\":\"Rest Assured &#8211; 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