Business: Making Cents of Coding Systems: Billing for Professional Services Administrators and supervisors face daily challenges over issues such as program funding, service fees, correct coding procedures, and the ever-changing healthcare regulations. Receiving equitable reimbursement for speech-language pathology and audiology services necessitates an understanding of federal coding and reimbursement systems. This tutorial provides information pertaining to two major healthcare coding ... Article
Article  |   March 01, 2010
Business: Making Cents of Coding Systems: Billing for Professional Services
Author Affiliations & Notes
  • Dee Adams Nikjeh
    ASHA Health Care Economics Committee, University of South Florida, Tampa, FL
  • Charlette GreenColumn Editor
Article Information
Practice Management / Professional Issues & Training / Business
Article   |   March 01, 2010
Business: Making Cents of Coding Systems: Billing for Professional Services
SIG 11 Perspectives on Administration and Supervision, March 2010, Vol. 20, 3-8. doi:10.1044/aas20.1.3
SIG 11 Perspectives on Administration and Supervision, March 2010, Vol. 20, 3-8. doi:10.1044/aas20.1.3
Abstract

Administrators and supervisors face daily challenges over issues such as program funding, service fees, correct coding procedures, and the ever-changing healthcare regulations. Receiving equitable reimbursement for speech-language pathology and audiology services necessitates an understanding of federal coding and reimbursement systems. This tutorial provides information pertaining to two major healthcare coding systems and explains the relationship of these systems to clinical documentation, the Medicare Physician Fee Schedule and equitable reimbursement. An explanation of coding edits and coding modifiers is provided for use in those occasional atypical situations when the standard use of procedural coding may not be appropriate. Also included in this tutorial is a brief discussion of the impact that the Medicare Improvements for Patients and Providers Act of 2008 (HR 6331 Medicare Improvements for Patients and Providers Act [MIPPA], 2008) has had on the valuation of speech-language pathology procedure codes.

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