Wiki Facility vs Professional Coding

[bugsy4cpc]

I must have missed something in school. Isn't diagnosis coding the same on both sides of the line...ie from the facility perspective and from the provider perspective? Am I missing something? For example, if the patient is admitted for an infection of a hip replacement and there is a revision done, isn't all of the diagnosis codes the same no matter who you are coding for? I am so confused!!

 

[ehanna]

Yes, I work on the Professional side and am certified. Our facility billers are not certified so we must write the diagnosis code on the form before we take it over for their side to be billed.

Same diagnosis codes either side.

I hope this helps

E

 

[kevbshields]

The short answer: no.

Since the patient was admitted, the facility coder will be utilizing the entirety of the chart (generally speaking) to code for the whole stay. The professional services coder, however, tends to use the "stand-alone note" approach, determining diagnosis codes on the information from that date of service and that particular provider alone.