| Validation of and the coding for MS-DRGs, and
APCs are primary services for PPS. Plus, PPS has the flexibility to customize
these services based upon your direction and needs.
The benefits of PPS Coding
Validation services include:
- Examination of MS-DRG, APC , outpatient Surgery, Wound Care and other
cases and corresponding bills for safe and accurate coding, documentation and
billing
- Personnel are all HIM professionals: RHIA’s, RHIT’s and CCS’
with a minimum of ten years coding experience prior to joining the PPS team
- Education provided one-on-one and/or seminar style
- Physician education, as requested, by our staff of physicians to alleviate
subjective or ambiguous documentation
- Service can be provided on a pre-billing basis or retrospectively, daily,
quarterly or as directed
- Services can be provided on or off-site
- Validation of correct and up to date CPT and ICD-9-CM codes utilized by
the facility
- Reporting by case and providing statistical analysis
- Specialized Coding:
- Diabetes mellitus and inpatient coding with MS-DRGs
- ICD-9 coding for heart murmurs
- Coding guidelines for pathology reports
- ICD-9 coding for operative reports
- Coding for observation services
- Information on medical coding auditing tools
- Medical coding audit worksheets
- Anesthesia coding and billing audit
- Residents and observation coding
- Coding for teaching physicians
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PPS has been assisting clients with APCs for
ten years. Significant experience with the OPPS, including CMS’s most recent
changes in 2008, has provided PPS the opportunity to develop a number of APC compliance
and reimbursement oriented services.
The benefits these services
deliver include:
- Accurate billing and documentation for APC assignment
- Correct modifier usage and education
- Correct E/D billing
- Specialized expertise in wound care coding
- Correct Observation billing
- Years of E&M coding experience
- Full range of education with experience with Doctors, Coders and billing
staff
- Validation of Medical Necessity coding and documentation
- Pass-through rebilling
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