Summary
The manual by Kurec (2014) explores CPT codes used by healthcare professionals to identify specific procedures and tests to bill for laboratory services accurately. According to the author, CPT codes are applied in combination with a series of codes that are used to identify diseases, disorders, and symptoms by clinicians. Also, the codes are used to identify the types of tests that should be performed to ensure the relevance of the trials based on the existing clinical problem (Kurec, 2014). The article demonstrates why the tests are necessary and how they can be used in healthcare professionals to perform laboratory testing, which is crucial to ensure compliance with appropriate regulations.
Accordingly, the manual incorporates a set of terms applicable for administrative management of clinical practices and in the design of medical guidelines, develops fee schedules, clinical training, as well as research and development of new medical technologies. Kurec (2014) explains the benefits of gathering information to measure productivity coupled with other benchmarking metrics. The author elaborates that when CPT codes are used correctly, it is crucial to guarantee the proper submission of payment and to promote compliance with necessary regulations.
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The manual also explores the benefits of developing a liaison with billing personnel, compliance officer, and to ensure that the codes are used correctly for the actual medical tests executed (Kurec, 2014). The author explains that it is necessary to remember that upon changing the CPT codes, they ought to be billed as such. Since the procedure is voluminous, a miscoded test can easily be replicated severally, which can result in non-compliance with the regulations. Hence, the billing personnel needs to maximize reimbursement payments correctly. A timely review of the CPT codes is necessary to reflect on the clinical procedures performed.
Reference
Kurec, A. (2014). The Importance of Understanding CPT Coding. Clinical Leadership & Management Review , 28 (3).