Our goal and ongoing commitment is to provide a practical, streamlined set of coding tools that are both easy to access and appropriate for use by anyone in the practice. We’ve listened carefully to feedback and created the following time-saving collection of tools:
Our comprehensive search tool allows you to find CPTs, HCPCS and ICDs using partial codes or keywords. But that’s just the beginning! Once you’ve found what you’re looking for, we’ll also show you a whole set of helpful information including additional codes, excludes, next codes and notes from MedlinePlus, just to name a few.
Hierarchical Condition Categories (HCCs) help predict the expected cost of care for older patients and are the basis for Medicare Advantage plan reimbursement calculations. To help you navigate the often confusing rules of risk assessment, we’ve provided a basic HCC lookup as well as a first level risk assessment calculator.
You can access our Correct Coding (NCCI) tool from the coding toolset or directly within your Encounter screen. We also provide a quick check for Procedure to Procedure (PTP) and Medically Unlikely Edits (MUE)!
Choose a Medicare location and a HCPCS code and we’ll fill your screen with useful data, including RVUs and Physician Fee Schedules, LCDs, Payment Indicators as well as links to specific CMS data pages.
Swiftaudit uses the National Provider Identifier (NPI) database to access coding data from the most recent Public Use Files (PUF) and compare your physician’s annual coding results with both local and national numbers.
Speaking from over 25 years of experience as a contractor and business owner who has recruited and hired, written scope of work/contracts, worked for business owners, had business owners who worked for me, read contracts and worked with small/medium/Fortune 500 firms – some thoughts on doing business in today’s marketplace:
Scenario: You may be looking at contracts with small/medium businesses who are actually working with a larger firm. The larger firm often has a contract with the actual end customer ((government, hospitals, payor etc.). Keep in mind that it’s the end customer who drives the final actual work – whether it’s less or more work than originally planned, when the actual work starts, when the work is demanded, and all the little details required.
To get a sense of what work you may actually get, see if you can determine the actual chain of business. What are the goals of the end customer? What is the target, need, driving reason for spending the money on the project? You may not get all the details, but you might get some sense of the scope of work and the players.
It’s easy to get excited when a job is described. Remember, it’s the job of the recruiter to excite you. They are also excited and want to do a good job for you and their business.
The best thing you can do for yourself is manage your own expectations. Although everyone means well, the end customer is often a mega business with their own needs and pressures, and that can very quickly change the business landscape.
Some tips to help you grow as a person in business:
Get things in writing, but understand that a contract is only an understanding between parties, and goes only as far as the other party understands the job themselves.
Build trust with the businesses recruiting you.
Build a positive working relationship.
Build on the understanding that everyone wants to win-win.
Complaining might get you a few points, but no lasting satisfaction.
Learn who will follow through, or who will at least be honest with you.
Give room to those who can’t/don’t follow through. They can bring you good jobs or referrals down the road.
Don’t let dishonesty discourage you.
Don’t take things personally. Everyone has pressures and self-interests. If you have self-interest, so do they. When it works to service everyone’s self-interest, everyone wins.
Sometimes – give a little or let things go. It can win you a lot in the long run. If nothing else, you win your own sense of strength, giving, understanding, respect, and peace of mind in a today’s tumultuous world. And, you’ll find like-minded folks to team up with.
Are You Correctly Handling These New HCPCS Q Codes? You’re probably just getting comfortable with your 2018 edition of HCPCS level II code book, but you’ll have to make a few additional changes to your reporting. CMS has released five new HCPCS Level II codes, effective July 1, 2018. All the new codes are Q […] […]
Welcome to the Swiftaudit blog, we’re glad you’re here! We’ve designed this page with you in mind, and we hope you’ll find our articles both useful and encouraging. We’ll share tips from our experts on how to work smarter, code and audit better, and how to find the coding job that makes you happy!
We’re all in this talented community of auditors together, and we look forward to getting to know you better. So sit back, scroll down and enjoy!