5 tips for spine coders from Apache Health’s President Sean McSweeney

Sean McSweeney, founder and president of Apache Health, a Los-Angeles based medical billing company, told Becker’s ASC Review his top five tips for spine coding.

Advertisement

1. Understand add-on codes and how they work.

2. Know the importance of modifiers and the correct use of them.

3. Always bill the main procedure codes per the highest reimbursement according to your carrier contract first, as some contracts do not follow the resource-based relative value units.

4. Understand the specific description of major procedures codes to determine [which is] most accurate, as many codes have similar descriptions and only differ by a few words.

5. Keep track of insurance carrier guidelines to understand each specific requirement, as many policies today simply will not cover certain spine codes.

More articles on coding, billing and collections:
Anesthesiologist and Oklahoma state senator introduces surprise billing legislation: 3 things to know
Louisiana pursues Medicaid work requirements — 9 things to know
3 coding tips from Medical Bill Consultants’ CEO  

At the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference, taking place June 11-13 in Chicago, spine surgeons, orthopedic leaders and ASC executives will come together to explore minimally invasive techniques, ASC growth strategies and innovations shaping the future of outpatient spine care. Apply for complimentary registration now.

Advertisement

Next Up in ASC Coding, Billing & Collections

Advertisement

Comments are closed.