4. While on a skiing vacation, you break your leg and are treated by a local provider. Upon your return home, your PCP removes the cast. Explain why or why not to use bundled code.
Bundled code is basically used in the health care sector for the patient who is undergoing any treatment. That means it is a combination of healthcare services in which payment will be made as one code.
ADVANTAGES OF BUNDLED CODE
Bundled code has many benefits, which can be opt-in treatment.
It is the most convenient method of payment for the patient.
It saves time, energy, and money as well.
It has less administrative works, i.e., reduces paperwork.
DISADVANTAGES OF BUNDLED CODE
Despite the benefits, it also has potential issues. They are as follows:
Every health care service may not be included in the bundled code that risks not being reimbursed for other services required.
The health care provider may not perform the necessary services because that service is not included in the bundled code.
There is a possibility of over-coding.
SUMMARY
Bundled code has its own benefits and drawbacks, on the other hand. It can be beneficial for both patients and health care teams if used effectively. So, it allows everyone to choose this code depending upon the services provided.
3. Why can't the provider simply code office visits by time spent with the patient?
9. How does an individual or group (such as a provider) get a HCPCS code added, changed, or deleted?
4. The code numbers are listed in the Alphabetic Index. Why not code directly from it?
5. Explain why a physical status modifier must be used with anesthesia codes.
2 If a patient has bunions on both feet repaired during the same operation, why must you use modifier 50?
8. Why would the medical billing specialist need to use HCPCS codes for patients other than those covered by Medicare?
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