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Chan B, Mnyavanu N, Bhombal S, Fraga MV, Groves AM, Marshall S, Mukthapuram S, Singh Y. Essentials of Point-of-Care Ultrasound Coding and Billing at the Neonatal Intensive Care Unit Setting in the United States. Am J Perinatol 2024. [PMID: 38698594 DOI: 10.1055/s-0044-1786721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/05/2024]
Abstract
Point-of-care ultrasound (POCUS) has increasingly been used by neonatal providers in neonatal intensive care units in the United States. However, there is a lack of literature addressing the complexities of POCUS coding and billing practices in the United States. This article describes the coding terminology and billing process especially those relevant to neonatal POCUS. We elucidate considerations for neonatal POCUS billing framework and workflow integration. Directions on image storage and supporting documentation to facilitate efficient reimbursement, compliance with billing regulations, and appeal to insurance claim denial are discussed. KEY POINTS: · Code neonatal POCUS procedure precisely allows accurate reimbursement and reduced errors in billing.. · Document details to support medical necessity and reimbursement claims effectively.. · Adhere to regulations to avoid audits, denials, and ensure proper reimbursement..
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Affiliation(s)
- Belinda Chan
- Division of Neonatology, Department of Pediatrics, University of Utah, Salt Lake City, Utah
| | - Natalie Mnyavanu
- Department of Quality Assurance, University Medical Billing, Salt Lake City, Utah
| | - Shazia Bhombal
- Department of Pediatrics, Emory University/Children's Healthcare of Atlanta, Atlanta, Georgia
| | - María V Fraga
- Division of Neonatology, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Alan M Groves
- Division of Neonatology, Department of Pediatrics, University of Texas at Austin Dell Medical School, Austin, Texas
| | - Stephanie Marshall
- Division of Neonatology, Department of Pediatrics, Ann & Robert H Lurie Children's Hospital, Feinberg School of Medicine at Northwestern University, Chicago, Illinois
| | - Shanmukha Mukthapuram
- Department of Neonatology, Envision Physician Services, Wellington Regional Medical Center, Wellington, Florida
| | - Yogen Singh
- Division of Neonatology, Department of Pediatrics, Loma Linda University School of Medicine, Loma Linda University Children's Hospital, California
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Gaudreau-Simard M, Kilabuk E, Halman S, Wooller K, Woo MY, Arntfield R, Ma I, Forster AJ. Start spreading the news: a deliberate approach to POCUS program development and implementation. Ultrasound J 2023; 15:13. [PMID: 36892686 PMCID: PMC9998745 DOI: 10.1186/s13089-023-00309-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Accepted: 01/31/2023] [Indexed: 03/10/2023] Open
Abstract
While there is an expanding body of literature on Point-of-Care Ultrasound (POCUS) pedagogy, administrative elements that are necessary for the widespread adoption of POCUS in the clinical environment have received little attention. In this short communication, we seek to address this gap by sharing our institutional experience with POCUS program development and implementation. The five pillars of our program, selected to tackle local barriers to POCUS uptake, are education, workflow, patient safety, research, and sustainability. Our program logic model outlines the inputs, activities, and outputs of our program. Finally, key indicators for the monitoring of program implementation efforts are presented. Though designed for our local context, this approach may readily be adapted toward other clinical environments. We encourage others leading the integration of POCUS at their centers to adopt this approach not only to achieve sustainable change but also to ensure that quality safeguards are in place.
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Affiliation(s)
- Mathilde Gaudreau-Simard
- Division of General Internal Medicine, Department of Medicine, The Ottawa Civic Hospital, University of Ottawa, 1053 Carling Ave, D 107, Box 209, Ottawa, ON, K1Y 4E9, Canada.
- The Ottawa Hospital Research Institute, The Ottawa Hospital, 725 Parkdale Ave, Ottawa, ON, K1y 4E9, Canada.
| | - Elaine Kilabuk
- Division of General Internal Medicine, Department of Medicine, The Ottawa General Hospital, University of Ottawa, 501 Smyth Road, Ottawa, ON, K1Y 4E9, Canada
| | - Samantha Halman
- The Ottawa Hospital Research Institute, The Ottawa Hospital, 725 Parkdale Ave, Ottawa, ON, K1y 4E9, Canada
- Division of General Internal Medicine, Department of Medicine, The Ottawa General Hospital, University of Ottawa, 501 Smyth Road, Ottawa, ON, K1Y 4E9, Canada
| | - Krista Wooller
- Division of General Internal Medicine, Department of Medicine, The Ottawa Civic Hospital, University of Ottawa, 1053 Carling Ave, D 107, Box 209, Ottawa, ON, K1Y 4E9, Canada
- The Ottawa Hospital Research Institute, The Ottawa Hospital, 725 Parkdale Ave, Ottawa, ON, K1y 4E9, Canada
| | - Michael Y Woo
- The Ottawa Hospital Research Institute, The Ottawa Hospital, 725 Parkdale Ave, Ottawa, ON, K1y 4E9, Canada
- Department of Emergency Medicine, The Ottawa Civic Hospital, University of Ottawa, 1053 Carling Ave, Ottawa, ON, K1Y 4E9, Canada
| | - Robert Arntfield
- Division of Critical Care, London Health Sciences Center, Victoria Hospital, Western University, 800 Commissioners Road East, Room D2 521A, London, ON, N6A 5W9, Canada
| | - Irene Ma
- Division of General Internal Medicine, Department of Medicine, University of Calgary, 3330 Hospital Dr NW, Calgary, AB, T2N 4N1, Canada
- Department of Community Health Sciences, University of Calgary, 3330 Hospital Dr NW, Calgary, AB, T2N 4N1, Canada
| | - Alan J Forster
- Division of General Internal Medicine, Department of Medicine, The Ottawa Civic Hospital, University of Ottawa, 1053 Carling Ave, D 107, Box 209, Ottawa, ON, K1Y 4E9, Canada
- The Ottawa Hospital Research Institute, The Ottawa Hospital, 725 Parkdale Ave, Ottawa, ON, K1y 4E9, Canada
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Hollon MM, Bradley C, McCullough I, Borgmeier E. Perioperative applications of focused cardiac ultrasound. Int Anesthesiol Clin 2022; 60:24-33. [PMID: 35670235 DOI: 10.1097/aia.0000000000000371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- McKenzie M Hollon
- Department of Anesthesiology, Emory University SOM, Atlanta, Georgia
| | - Caitlin Bradley
- Department of Anesthesiology, Emory University SOM, Atlanta, Georgia
| | - Ian McCullough
- Department of Anesthesiology, Emory University SOM, Atlanta, Georgia
| | - Emilee Borgmeier
- Department of Anesthesiology, University of Utah, Salt Lake City, Utah
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