Socioeconomics of coding for endocrine services

To review the current coding systems for procedures and services as well as for diagnoses and to address special issues in endocrine disorders such as diabetes relative to reimbursement.

A method of coding for services to maximize reimbursement and minimize errors and denials of claims is discussed. Useful checklists and resources are also provided.

Medicare policies have become increasingly complex, and continual changes in coverage of medical services and procedures can be confusing. Suggestions are presented for securing timely payment for claims, and thorough documentation is emphasized. "Bundling" of codes by payers, a common practice with new screening software systems, is explained. Strategies are described for negotiating contracts that specify prompt payment periods and include penalties for late payments.

Awareness of current codes for health care services and diagnoses will facilitate the processing of claims and optimize reimbursements.