Procedure Controls

This dropdown allows the auditor to select the type of procedure code they are entering.

The available types are:

 

Once the type has been selected and a code entered, the code type cannot be changed, just removed, with the exception of CPT4 and HCPCS. If CPT4 code is changed to HCPCS or vice-versa, the system detects this and changes the code type.

The auditor simply need type the code into the code entry area and hit tab or enter. The code will be auto-formatted based on its selected type and sent to TruCode. If a matching code is found, the description is added to the code description display (4).

Clicking this icon will look up the current code in TruCode. If a match is found, the description is automatically added to the code description display and the both DRG and reimbursement are updated. If no match is found or the code entry area is empty, the TruCode codebook will display with the closest possible match selected. The auditor can then click on the proper code in TruCode and have the system automatically add it to the chart.

The procedure code description is displayed here. If a code status (omitted code, etc.) is set on the line item, it is displayed here as well.

The name of the physician performing the procedure can be set here.

The date of the procedure can be added here.

By clicking this, the auditor marks the code as requiring a physician query. The DRG is automatically recalculated as if the code did not exist on the chart and any reimbursement variances are noted.

Clicking on this displays the Account Status/Reason Editor. Please see the Account Status/Reason Editor section for a detailed explanation of that control.

Clicking this marks a procedure as having a data transfer error associated with it. This adds to the Data Transfer error count and removes an error from the standard procedure error counts.

This icon indicates that a change to the code has caused impacted the reimbursement amount. This icon can be manually toggled by the auditor by clicking on it.

Clicking this icon removes the code. Once removed, this icon changes to an arrow indicating that the code can be reinserted.

 

Newly added codes are deleted from the chart once the chart is saved. Existing codes that are removed are saved as removed in case they need to be added back at a later time.