1. ejones57
   Member
   Posted 1 year ago #
   

   Does anyone know of a software program the you can input your icd-9 codes and it will put them in the correct order for getting paid?

2. Melanie Cramer
   Member
   Posted 1 year ago #
   

   Im not aware of such a thing to be honest but - generally you would base the nature of the visit/dictation with the primary diagnosis given of that visit.

   What format of dictation do your physicians use? SOAP by chance or are they categorized?

   Also take into consideration that there are a couple payors out there that may very well have a specific format that must be followed...

   Here is an example:
   Im in New Hampshire - Jurisdiction 14 for Medicare Part B beneficiaries.

   An established Medicare patient comes in for their Routine Colonoscopy. They do not have any family history of polyps, cancer - so the appointment is scheduled as a low-risk visit G0121 - and the primary diagnosis would be V76.51 for screening.

   Patient arrives for the procedure - and in the dictation the physician finds a rectal polyp and a colon polyp that require removal by snare technique.

   The CPT changes to 45385 - BUT the primary diagnosis is V76.51, then the second diagnosis would be 211.4, and third diagnosis would be 211.3

   With our Medicare patients, we have to indicate the reason for the appointment being scheduled to begin with - which means the V code is primary - the findings of that procedure would be secondary - so on and so forth.

   That would be an example of something that doesnt follow traditional order of diag-coding.

   Always refer to dictation/path reports, documentation of the office visit if its an OV code you are billing, when researching the diags.

   To be honest, I dont think I would trust any software when it comes to putting diagnoses in order... Just my humble opinion

3. Anonymous
   
   Posted 1 year ago #
   

   I have'nt heard of this kind of intelligent software. I do remember about the Centerecity software from GE, where an incompatible ICD-9 or modifier code billed with a CPT code (specially-surgical) then it won't allow to get that claim filed to insurance. But it doesn't orders accordingly for getting it paid.
   If this kind of software comes in the market then our coders job would be on stake.
   :-)

4. ejones57
   Member
   Posted 1 year ago #
   

   thank you - I have never heard of it either but the Physican I worl for insist she has heard of it - but I also agree should such a thing exist why have us.

5. Melanie Cramer
   Member
   Posted 1 year ago #
   

   claim editing functions would be available with software - but not to scan the dictation and automatically determine the order of diags...

   ejones57 - Im curious - what is your position? Are you a CPC? a Certified Biller?

6. ejones57
   Member
   Posted 1 year ago #
   

   Malanie - I do both the coding and billing for 1 physician - unfortuantely I am self trained - I am taking classes right now. So I am sorry if my questions don't always makwe sense. I am normally the office manager and Medical Assistant

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