Monday, April 27
7:00 am - 9:00 am
109 Neurocritical Care Documentation, Coding, Billing, & Practice: Pearls and Pitfalls to Maximize Revenues and Outcomes
Moderator(s): Gregory Kapinos, MD, MS, FASN
Proper documentation, coding and billing is parsimoniously covered during neurosurgical training. This seminar gives empirical pearls on how to use a thorough note for documentation optimization, better communication between clinicians and reconciliation of the needs of coders, billers and legal analysts. It covers 99291-2 elements, 99321-3 elements, all appropriate code modifiers for neurosurgeons, discharge codes, procedural codes in the NSICU, interpretation of paraclinical data in the NSICU and how to unbundle it from critical care billing. This seminar will cover how to use appropriate unbundling of critical care codes from neurosurgical operative codes and teach pearls on documentation and judicious use of modifiers.
- Enhance documentation in neurocritical care progress and consultation notes for clarity in inter-disciplinary communication, compliance for coding and billing purposes, reconciled with legal and patients perspectives.
- Discuss clinical pearls for documentation and coding amelioration: the typical comprehensive neurocritical care progress notes for daily rounds by neurosurgeons.
- Explain the financial impact of accurate coding and accurate listing of neurosurgeons as neurointensivists in their scope of practice for state regulated CMS data.
- Explain the principles and structure for a business model and approach to staffing the NSICU with neurosurgeons as neurointensivists.