CaseCoderExpert User Manual
Contents
1. Select Carcepn ink Malling Sd diess ink Mailing Andreas 2 Plam Type Farz ce Physician Categoy Filani eet Fate Warker s Comp Ins Phome Claim 2 ins Mailing Address 1 ins Mailing 2 Claim Open medical Benefits Exhausted Additional Information The Verification Fo Ies Phone Spoke Wir Scale Effective Gate fine ed Group F Adresse 1 Address gt Flan Type Pars Mor Far Category lm Fatini Dui Failent The Verification Form consists of a series of questions regarding pre authonzations and insurance information based on that particular patient This form is an excellent tool that Policy Polloyhokder Hane Ins Malling Address 1 Ink Mailing Address 2 Chim Open Medical Benefits Exhassred keeps your information in a nice format and is easily accessible by all users Select Select Casecoder 25 Prini Cancel The Verification Form Prosedure Autheoiratio n information Account Faarup loss Lana amal san nr Mei Emus Fer Ema Fran minh wis TACCOUNT 78687087 ae Daria Date Primary Insurance Brin Chalet inqered sim Ins Phon2. m O CaseCoderEXPERT User Manual Version 2 0 www businessdynamicsrcm com 1 o Table of Con OVERVIEW usakuna u ms CORR TA What is CaseCoderEXPERT 7 TT NANNAN ACCESSING THE PROGRAM FPS aiaa ra ea uk 4 Logging into oiu 4 2 EE EE EE EE E 5 NAVIGATING THROUGH CaseCoderEXPERTS 10 FP 11 Pee EN EE EE ERE TR RE NE 15 PSTN NN 19 Tre GO DP ERR SER NERE 24 Coding in CasecoderEXPERT uuu u u uuu uuu MU S Md 30 Me NN NJ 31 AE OS u u EN sss 37 gt aE lt hp 39 nadins 41 VIDEBIS u 44 pe i 8 T EE 48 FINISHING eratac enano 50 Overview What is CaseCoderEXPERT CaseCoderEXPERT is designed for the expert coder who can instantly recognize codes and their meanings is superior in the art of applying modifiers and is keenly aware of bundling CaseCoderEXPERT generates accurate codes by simply clicking through a series of coding choices your selection will quickly provide an organized coding result which can be emailed directly to your billing department CaseCocer 3 Accessing the Program in m CU a Logging into CaseCoderEXPE
3. view your account click your courses click here and enter your account and enter your account information here enter your account information information THE BUSINESS OF SPINE ex 5 lots CaseCoder CaseCoder The Login Screen in your CaseC oderEXPERT Usemame and Password 4 p asevcodce Confident Coding at your fingertips Powered by Business Dynamics Revolutionizing the Business of 3 Copyright 2005 2007 2010 2011 2012 CaseCoder LLC All Rights reserved CaseCoder EZ CaseCoder Expert amp CaseCoder Extreme are Registered Trademarks of CaseCoder LLC CPT is a registered trademark of American Medical Association Current Procedural Terminology CPT is Copyright 2012 All Rights Reserved ICD 9 is copyright 2012 under the Uniform Copyright Convention All Rights Reserved CaseCocder r a m amen m Forgot your Username Forgot Username Please enter your email address in the box below Forgot Password Login Username Please enter your username in the box below Username Password Forgot Usemame Select Forgot Usemame and CaseCoder will Supply your usemame via email Forgot Password Select Forgot Password and you will be prompted DE to enter your usema me followed by a Forgot Password security question Once completed you may create
4. Hemilaminectomy Bone Edward MD CPT Code Mod Units 02741 02751 62287 63040 63042 63043 _ Assistant Surgeon Helper John MD Laminectomy CPT Code Mod Units 63001 63003 Add _ 63016 63017 _ 63050 63051 ranspedicular 63056 screen will appear with the chosen Anterior Discectomy code highlighted underthe appropnate 63075 63076 Main Procedure Anterior Corpectomy Laminectomy for Lesion 63265 63266 63272 63273 i r a m Casecoder me Wu om 35 Operative Report Operative Report Sample Patlent Name Jane Doe Date 3 18 05 Indications The patient presented with pain ard mobility im the maxillary right quadrant She had a history of periodontal disease and has been undergoing maintenance therapy Tooth 4 his recently become ire mobile and has been dedlared unsestorable hy the perrocdontrsd Preoperative diagnosis Advanced adult periodontitis Postoperative diagnosis Same Anthea sedation Local with DV conscious sedation Procedure The patient was taken ro the operatory and placed supine in the dental chair Vital sign monitors were placed consisting of an blood pressure monitor pulse oximeter amd capnograph An DM Dune was established in dorsum of ihe right hand A DSW drip was sturted Versed wus given by slow titration until conscious sedation was achieved A betadine prep was dome of the facial skin and the or
5. and 22800 22802 422845 Kyphectomy Exploration of Fusion Grafting CaseCocer 40 ICD9 Codes None 1 To delete a code access one ofthe Main Procedure tabs the Surgery Coding Screen CaseCocer 41 2 Click the code Forexample by clicking code 22551 a message will appear asking if you are sure you wantto delete this particular code Click OK to delete the code or Cancel to keep the code Deleting Code Instrumentation Posterior 22840 Anterior Removal 22850 Reinsertion 22849 Surgeon Bone Edward MD CPT Code Mod Units 1 1 1 stant Surgeon re you sure you want to delete code 22551 Casecoder 42 Adding Units Let s say we have a intervertebral mechanical device at 2 units Instrumentation Posterior Anterior Interbody 22851 Pelvic 22848 _ Removal 22850 22852 _ Reinsertion 22849 Modifier None Units 1 Selected Code Application of intervertebral biomechanical device s e g Surgeon Bone Edward MD CPT Code Mod Units 225514 1 22552 1 _ 22845 1 Adda Assistant Surgeon Helper John MD 1 Fom Instrumentation select the code foran intervertebral mechanical device Code 22851 then click the units tab on the bottom ofthe screen synthetic cages s methylmethacrylate to vertebral defect interspace
6. 50 Adding Modifiers and Uni Code 22851 will need to be attached to the assistant surgeon with 2 units and a modifier Instrumentation Modifiers None 53 59 Surgeon Bone Edward MD CPT Code Mod Units 22551 22552 22845 _ 22851 While under Instrumentation select _ code 22851 Add irgeon Click the Modifiers tab and select the units appropriate modifier modifier 80 80 1 22552 80 Casecoder 51 Adding Modifiers and Uni Instrumentation Prem Bone Edward MD Code Mod Units 3 Click the Units tab and selectthe appropriate amount of units 2 Assistant Surgeon Helper John MD Code Mod Units 22551 50 1 Casecoder 52 Adding Modifiers and Uni Instrumentation Posterior Interbody 22851 Pelvic 22848 Removal 22850 Reinsertion 22849 22841 22842 22843 22844 2285 4 By clicking Add underthe assistant surgeon you will notice the code has been added along with units and a modifier Retum to the Surgery Coding Screen Surgeon Bone Edward MD CPT Code Mod Assistant Surgeon Helper John MD CPT Code Mod Units 22551 80 _ 22552 50 _ 22845 50 Casecoder 53 Adding ICD 9 Codes Surgery Coding Screen Search code Go ICD9 Codes osteotomy Surgeon 3ToTI Bone Edward MD
7. CPT Code Mod 22551 22552 22845 22851 20931 Assistant Surgeon John MD 1 Click the 1CD 9 tab atthe oP bottom of the screen 22851 Casecoder 54 Adding ICD 9 Codes Abscess Cysts Infections Lesions A 7230 98 730 99 733 20 739 0 _ 439 3 739 4 Ankylosis 5pondylolitis and 5pondylopathy 7224 06 Degenerative Degeneration 7226 2 Selectcode 722 0 then click Add Code Displacement Herniation Fractures 733 13 _ _ 733 95 805 00 805 01 805 02 5805 03 Selected Code Displacement of cervical intervertebral disc without myelopathy Selected Case r a m Cod cr uu on 55 Adding ICD 9 Codes Abscess Cysts Infections Lesions Add Code Selected ICD Codes Ankylosis Spondylolitis and Spondylopathy 724 6 Degenerative Degenera 23238 23253 3 Ihe ICD 9 code has now been added on the right 22 52 722 6 _ Diseases 01500 ace 4 Select Close on the ICD 9 screen and Save on the Surgery Coding Screen 722 0 722 10 722141 7222 72230 722 71 Displacement Herniatio _ 922 72 722 73 Casecoder 56 Finishing CaseCoder The Surgery Details Screen Surgery Details Date of Surgery Admit Date Place of Surgery ICD9 Codes Surgeon Bone Edward MD CPI Code Mod 22551 22552 22845 22851 20931 69990 9
8. Modifiers Casecoder 43 Adding Units Instrumentation Surgeon Bone Edward MD CPT Code Mod Posterior 22840 22841 22842 22843 22844 _ Anterior Assistant Surgeon Helper John MD 2 This will prompt a light box with Code Mod Units units 1 20 available to select Casecoder 44 Adding Units Instrumentation Surgeon Bone Edward MD CPT Code 3 Click on the number of units 2 you wish to add Select 2 CPT Code Mod Add or sl ties sites Casecoder 45 Adding Units Instrumentation Posterior 4 The light box will disappear and 22850 22852 VOU Will need to select Add v mE underthe primary surgeon 22849 Modifier None Units 2 Selected Code Application of intervertebral biomechanical device s e g synthetic cages s methylmethacrylate to vertebral defect or interspace Surgeon Bone Edward MD CPT Code Mod Assistant 5urgeon Helper John MD CPT Code Mod Units Casec oc r F sj 46 Adding Unils Instrumentation Posterior Anterior Interbody Reinsertion 5urgeon Bone Edward MD CPT Code Mod After clic king Add you will notice that your a Code along with the number of units have been added to the primary surgeon Complete by attaching code 20931 to the primary surgeon Casecoder 47 Adding Modifiers Fusion
9. Forum These Terms of Service will be governed by and construed in accordance with the laws of the State of Utah without giving effect to the conflict of law provisions of Utah or your actual state or country of residence If for any reason a court of competent jurisdiction finds any provision or portion of these Terms and Conditions to be unenforceable the remainder of these Terms and Conditions will continue in full force and effect c Waiver and Severability of Terms The failure of CaseCoder to exercise or enforce any right or provision of these Terms and Conditions shall not constitute a waiver of such right or provision If any provision of these erms and Conditions is found by a court of competent jurisdiction to be invalid the parties nevertheless agree t should pusa avor to give effect to the parties intentions as reflected in the provision and the erms and Conditions shall remain in full force and effect 74 d Statute of Limitations You agree that regardless of any statute law to contrary any claim cause of action arising out of or related to use of the Website or these Terms and Conditions must be filed within one 1 year after such claim or cause of action arose or be forever barred e These Terms and Conditions constitute the entire agreement between the parties with respect to the subject matter hereof and supersede and replace all prior or contemporaneous understandings or agreements written or oral reg
10. Grafting Surgeon Bone Edward MD Extracavitary Lateral Code Mod 22532 Anterior _ 22585 Posterior 5 1 Selectthe code code 22551 Kg Ant Deformity CPT Code Mod Units 2 Click the Modifiers tab at the bottom ofthe screen Post Deform Kyphectomy 22818 22819 Exploration of Fusion 22830 _ Grafting Modifier None Units 1 Selected Code Arthrodesis anterior interbody including disc space preparation discectomy osteophytectomy and decompression of spinal cord and or ne Casecoder 48 Adding Modifiers Fusion Grafting Extracavitary Lateral 32630 22632 gt 3 Selectthe appropriate modifier modifier 80 Modifiers anus w gt o w we a Go wasikunan ws Close s6 32 s Surgeon Bone Edward MD CPT Code Mod Assistant Surgeon Helper John MD CPT Code Mod Units Casecoder 49 Adding Modifiers Fusion Grafting Extracavitary Lateral Anterior 4 By clicking Add you will notice the code along with the modifierare now attached to the assistant surgeon 2999 Attach codes 22552 and 22845 along with modifiers Kyphectomy Exploration of Fusion 22830 Grafting Surgeon Bone Edward MD CPT Code Units Assistant Surgeon Helper John MD CPT Code Units Casecoder
11. On this screen Patient i there are 14 Era Ssk Decompression 05 tabsthat Date of Surgery 9 18 2012 l enable to look forother coding opportunities that may apply such as ICD 9 codes Each code is broken down by the senes of coding opportunities thatare available in those particular segments Casec oc er 32 Search Field Searcha code by entering a keyword in the Search code field on the Surgery Coding Screen Surgery Coding Screen Search code Laminectomy ICD9 Codes None Surgeon Bone Edward MD Code Mod Units Assistant Surgeon Helper John MD Code Units um J Example Type in Laminectomy and click Arthroplasty Go CaseCocer 33 Search Field This will prompta pop up with all codes related to a Laminectomy 62350 62351 63001 63003 63005 63011 63012 63015 63016 63017 Implantation tunneled intrathecal epidi catheter w o lami Implantation tunneled intrathecal epidi catheter w lami Laminectomy midline cervical Laminectomy midline thoracic Laminectomy midline lumbar Laminectomy midline sacrum Lamir 2 Click the code you wish to add For example 63030 Laminectomy midline thoracic Laminectomy midline lumbar Laminotomy cervical 1 aminotomy lumbar Additional interspace laminotomy Casecoder 34 Decompression Surgeon Laminotomy
12. a new password CaseCocer o C M Hello DeDemo Ihe License Agreenmenm License Agreement As the physician or medical practice using the product contained herein hereafter you you have the sole obligation to select the codes that you believe are appropriate for the case performed regardless of the outcome of the use of this product or the advice of any other individual s You acknowledge that you have the option to either apply or discard any or all of the codes that are presented at the end of the selection process using this product You have the sole and final obligation to ensure that all coding submitted to the insurance carriers by you are correct and that the appropriate mnaratiie rannrt dnciurnantatinn ic incnrnnratand ciimnnnrt amu or claims Read the License Agreement page and de click Agree in order to continue e not to hold irs employees and contractors liable for any causes of action damages suits claims or liabilities whatsoever in connection with the use of this Product This product including all the components and all the information contained therein are the properties of CaseCoder LLC are copyrighted and may not be distributed modified sold or reproduced in whole or in part without the prior written permission of CaseCoder LLC You agree not to reverse engineer or create derivative products based on the product contained herein or t
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14. 26 2012 9 26 2012 Memorial Hermann Hospital 722 0 Insurance ID Authorization Assistant Surgeon Helper John MD CPT Code 22551 22552 22845 22851 Mod 80 80 80 80 Texas Insurance Company 768686868 766545434 58 The Surgery Details Screen Surgery History Email Surgery Repons LE LL m Select che report to print Date af Surgery Select Your Acidity Please select outgoing emails at least one email 15 required 71 ddemo casecoder com Ld contact This tab will direct you This tab allows you to to the Surgery History print the Billing Encounter Form or the Verification Form pop up will appear giving you the option to choose which emails you Screen would like to send the surgery to Casec oc er 59 The Surgery Details Screen Search code G Surgery Codimg Screen ICD Codes 722 0 Osteotomy Decompression Excision This tab will This tab will take you to the Surgery Coding Screen prompt a pop up asking if you would like to delete the current surgery Instrumentation Biopsy Arthroplasty Fracture Treatment Infections Injections EM Codes Misc Date of Surgery Admi Surgery Place of Surgery Add Poara Select add Meme gt if Auth ariratian E
15. Cartier Type Ja This tab will Select Additional Surgical Participants ke you to the Edit n deurgecnes Add New Surgery Screen Case 60 22551 22552 22845 22851 20930 59990 Date of Surgery 9 18 2012 Insurance Admit Date place of Surgery ICD9 Codes Surgeon Bone Edward MD CPT Code Company 9 18 2012 ID 889787789 Authorization 897897979 Regional The Billing Encounter Surgery Details Texas Insurance To view the Billing Encounter Select the report to print Form in the CaseC oderExpert program click Print on the MEE Surgery Details Screen then select Print BEF Close Casecoder 61 The Billing Encounter The Billing Encounter Form will excel spreadsheet in which you will have the ability to manipulate it based on any information you wish to add CaseCocder 62 CaseCoder Carrier Specific Guidelines The CaseCoder programs have been built directly from the AMA CPT guidelines It is highly recommended that users familiarize themselves with these guidelines in order to understand the different aspects and coding opportunities available It should be noted that within the medical insurance industry there are several carrier specific guidelines that may not adhere to these guidelines Eac
16. Extreme GP Gin Post Deform programs are professional coders who are able to manipulate and utilize CPT codes based on me mory a nd expe ne nce Exploration of Fusion wiring All users with the appropriate permissions will be able to access these patients in this group CasecCoder 38 Adding Codes Selectyourcodes based the Operatve Report Fusion Grafting Surgeon Extracavitary Lateral Bone Edward MD CPT Code Units 22532 22533 22534 i Anterior Assistant Surgeon R 22548 22552 22554 022556 22558 Helper John MD CPTCode Mod Units 22585 Add Posterior Bat Selecta code For example Select code 22808 22810 2255 then click the Add tab under Post Deform the primary Surgeon 22800 22802 22804 _ Kyphectomy 22818 22819 Exploration of Fusion _ 22830 Grafting Modifier None Units 1 Selected Code Arthrodesis anterior interbody including disc space preparation discectomy osteophytectomy and decompression of spinal cord and or ne 39 Adding Codes Fusion Grafting Surgeo nz Extracavitary Lateral Bone beware HD 4 Units Assistant Surgeon Helper John MD 22585 an Code Mod Units Posterior Md 22630 22632 YOU will see thatthe code has been Ant Deformity added under the primary surgeon 22808 22810 You may now assign codes 22552
17. ICE INCLUDING ANY LIABILITY OR EXPENSE ARISING FROM ALL CLAIMS LOSSES DAMAGES SUITS JUDGMENTS LITIGATION COSTS AND ATTORNEYS FEES OF EVERY KIND AND NATURE IN SUCH A CASE CASECODER WILL PROVIDE YOU WITH WRITTEN NOTICE OF SUCH CLAIM SUIT OR ACTION CASECODER COM LLC DISCLAIMS ALL OTHER WARRENTIES EXPRESSED OR IMPLIED INCLUDING THE IMPLIED WARRENTIES OF THE MERCHANTABILITY AND FITNESS FOR PARTICULAR PURPOSE CASECODER COM LLC SHALL NOT BE LIABLE FOR ANY DAMAGE OR LOSS OF ANY KIND ARISING OUT OF OR RESULTING FROM YOUR POSSESSION OR USE OF THE FILES INCLUDING DATA LOSS OR CORRUPTION REGARDLESS OF WETHER SUCH LIABILITY IS BASED ON TORT CONTRACT OR OTHERWISE IF THE LIMITATION IS HELD BE UNENFORCABLE IF CASECODER LLC S MAXIMUM LIABILITY TO YOU SHALL NOT BAGEED THE AMOUNT OF THE LICENSE FEES PAID BY YOU FOR THE FILES THE REMEDIES AVAILABLE ST CASECO DER LLC S UNDER THIS AGREEMENT ARE EXCLUSIVE SOME STATES DO NOT ALLOW 71 CaseCoder Discla INDEMNIFY HOLD HARMLESS AND DEFEND CASECODER LLC FROM AND AGAINST ANY LIABILITIES OBLIGATIONS DAMAGES LOSSES CLAIMS DEMANDS RECOVERIES SETTLEMENTS DEFICIENCIES COSTS OR EXPENSES INCLUDING WITHOUT LIMITATION REASONABLE ATTORNEYS FEES AND EXPENSES WHICH CASECODER LLC MAY SUFFER OR INCUR IN CONNECTION WITH RESULTING FROM OR ARISING OUT OF CASECODER A BREACH OF ANY OF IT S REPRESENTATIONS WARRANTIES COVENANTS AND OBLIGATIONS CONTAINED IN THIS AGREEMENT AND ALL P
18. REVIOUS AND FUTURE AGREEMENTS CASECODER MAY HAVE IN FORCE WITH ANY PARTY INCLUDING BUT NOT LIMITED TO CLIENTS PARTNERS SUBSIDIARIES EMPLOYEES OR ASSOCIATES B NON COMPLIANCE WITH ANY APPLICABLE FEDERAL STATE OR LOCAL LAWS OR REGULATIONS C WILLFUL MISCONDUCT OR GROSS NEGLIGENCE 15 DISCLAIMER OF WARRANTIES YOU EXPRESSLY UNDERSTAND AND AGREE THAT a YOUR USE OF THE WEBSITE IS AT YOUR SOLE RISK THE WEBSITE IS PROVIDED ON AN AS IS BASIS AND WITHOUT WARRANTY OF ANY KIND TO THE MAXIMUM EXTENT PERMITTED BY LAW CASECODER AND ITS LICENSORS EXPRESSLY DISCLAIM ALL WARRANTIES AND CONDITIONS OF ANY KIND WHETHER EXPRESS OR IMPLIED INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES AND CONDITIONS OF MERCHANTABILITY FITNESS FOR A PARTICULAR PURPOSE AND NON INFRINGEMENT b CASECODER AND ITS LICENSORS MAKES NO WARRANTY I THAT THE WEBSITE WILL MEET YOUR REQUIREMENTS THAT THE WEBSITE WILL BE ERROR FREE OR BUG FREE IIl REGARDING THE SECURITY RELIABILITY TIMELINESS OR PERFORMANCE OF THE WEBSITE AND IV THAT ANY ERRORS IN THE WEBSITE WILL BE CORRECTED c ANY CONTENT OR MATERIAL DOWNLOADED OR OTHERWISE OBTAINED THROUGH THE USE OF THE WEBSITE IS DONE AT YOUR OWN DISCRETION AND RISK AND YOU WILL BE SOLELY RESPONSIBLE FOR ANY DAMAGE TO CaseCoder Disc aim d NONE OF THE WEBSITE IS INTENDED FOR USE IN THE OPERATION OF NUCLEAR FACILITIES LIFE SUPPOR SYSTEMS EMERGENCY COMMUNICATIONS AIRCRAFT NAVIGATION OR COMMUNICATION SYS
19. RT Go to www businessdyna mic src m c om and from the homepage select the tab labeled Client Page Revenue Cycle Management for the Spine Professional J 1 516 294 4118 Home AboutUs Services Company Performance Partnerships Client Career Opportunities Contact Us pd UNLEASH YOUR REVENUE POTENTIAL Try our Unique Spine Specific Services Business Dynamics RCM the nation s leader in spine coding and reimbursement is a full service Spine Revenue Cycle Management Firm that simplifies and streamlines the business of coding billing and reimbursement for spine specialists New Clients experience an increase of up to 30 upon inception of our services Learn More CaseCoder Logging CaseCoderEX Under CaseCoder selectthe click here option Revenue Cyde Management for the Spine Professional 1 516 294 4118 Home AboutUs Services Company Performance Partnerships Client Page Career Opportunities Contact Us Client Page WELCOME THE BUSINESS DYNAMICS RCM CLIENT PAGE On this page you are able to access your exclusive benefits as a BD RCM client If you should need further assistance with your account or you wish to inquire about partnering with BD RCM please contact our office at 516 294 1118 option 5 THE BUSINESS OF SPINE CASECODER ALL SCRIPTS To access your TBOS account to purchase or view access CaseCoder and begin coding click here access All Scripts
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22. al cavity The surgical team was then vi Tube angi tl und sterile rapus wos plac xu acris Hc Locul anesthesia was mdininistered by slowly and wiih good aspiration Following adequate local anesihesin full thickness incision was made in the sulcus of tooth 84 and a full thickness wit elevated The tooth was removed with luxation with a 400 elevatare and removal with a 8150 foreep Sharp euretiuge wos used to remove ull soll tissue remnants In the socket Using the implant kit 4 3 x 13 mm osteotomy was created in the apex of the socket extending 2 0 mm beyond the socket apex A 4 3 m x 13 mun eal OE impari was placed and found to be stable irudicated thai the implant wos in good position relative to the maxillary sinus Moor Mineralized allograft bone was hydrated with sterile saline and was applied to the pap between the socket walls ard the implant and then a dense PTFE membrane was placed over the nding mum beyond thee socket mun the palatal amd Tho issue was secured in iis native position with FTFE suture x 2 Croc hemosiasis was achieved Sienie 44 pouze packs were uses ihe procedure to protect the The paticnt wis allowed 18 recover spontaneously in th operatory instructions were reviewed wih ihe patient and their caregiver and then given vo them in willing They both vorced umler
23. ants CaseCoder is om 20 New Surgery Screen Date of Surgery Informqtion Tabs Date of Surgery can be entered by selecting the calendar nextto the format box Admit Date has to be either the same date as the Date of Admit Date Place of Surgery Surgery or before the Date of Surgery Place of Surgery you may selecta surgery location from the drop down menu oradd new location selecting the Add New tab Insurance may select the insurance from the drop down menu or add new insurance by selecting the Add New tab ID 4 will self populate to the Venfic ation Fom Authonzation will self populate to the Venfication Form Camier Type transfers over to the Billing Encounter Fom utilized in the CaseCoder Extreme program Case 21 Edit Co Surgeons Edit Asst Surgeons Add New Surgery Screen Participant Selection Tabs Surgeon all Surgeons are within the same group the user has access to The surgeon you select will be pulled from the listing that you may choose forthe other surgery participants Edit Co Surgeons check the Co Surgeon that will be participating in the surgery if applicable Edit Asst Surgeons check the assistant surgeon that will be participating in the surgery if applicable Edit PE represents physician extenders nurse practitioner
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25. contain the Code or other portions of the CDT and are generated by the Licensee pursuant to this Agreement 3 print out copies download or store on User s computer system electronic files of the Code or other portions of the CDT as reproduced in Electronic Publication s except for User s private or business use but not for resale or redistribution 4 remove any CDT copyright or other proprietary notices labels or marks for the Code or other portions of the User separate from use in connection with the Publications requires 70 CaseCoder Discla 12 TERMINATION You may terminate these Terms of Service at any time by contacting support CaseCoder com and request cancelation of your account Your rights automatically and immediately terminate without notice from CaseCoder if you fail to comply with any provision of these Terms of Service To the maximum extent permitted by law CaseCoder reserves the right to terminate this agreement and your use of the Website at any time and for any reason 13 SURVIVAL The provisions of Sections 4 6 7 9 10 11 12 13 14 15 16 17 and 18 shall survive any termination or expiration of these Terms and Conditions 14 INDEMNITY YOU AGREE TO HOLD HARMLESS AND INDEMNIFY CASECODER AND ITS SUBSIDIARIES AFFILIATES OFFICERS AGENTS AND EMPLOYEES FROM AND AGAINST ANY CLAIM SUIT OR ACTION ARISING FROM OR IN ANY WAY RELATED TO YOUR USE OF THE WEBSITE OR YOUR VIOLATION OF THESE TERMS OF SERV
26. e 936 788 5643 ree F Erns Musing Miren d in Spoke With Janet Musing Adresse P ini olsa Au Flaim Wages lam Tap Active Far Fac Par hahet pn Fas ka Peek ben ari Select i Pepti har Cat PR Fai rnit Messi Effective Date Insured Wosker s Compe Auto br Fron Haya Fans IDE m l Group Clim Falay Lmployer Folicybolder Ins Mailing Address 1 16955 Walden Road R arme Marr v rs aaa af Ins Mailing Address 2 Montgomery TX 7735 bn 1 hrs Mel TEE Plan Type priv bark Misery I K Lae Op Ph Claim Open Select ge Par Medical Enrsrfity Tm Physician Category Additional Information In Patient Out Patient Cell 713 546 6675 Frint Cancel Casecoder 26 The Verification Form Ell QU mnm mune rmm 1 Fa adr Frotedure Zoutherirationmn inforrmationm Account b st sari sami uem mink partert Eiir ibe Dade IE F ma Hias Feste ni TE Haber ID 4 automatically populates ta Maing adress 2 tns Hug Address from what was en
27. e Website you will not defame abuse harass stalk threaten or otherwise violate the legal rights such as rights of privacy and publicity of others upload post email or transmit or otherwise make available any inappropriate defamatory infringing obscene or unlawful content upload post email or transmit or otherwise make available any content that infringes any patent trademark copyright trade secret or other proprietary right of any party unless you are the owner of such rights or have the permission of the owner to post such content download any file posted by another that you know or reasonably should know cannot be legally distributed in such manner impersonate another person or entity or falsify or delete any author attributions legal or other proper notices or proprietary designations or labels of the origin or source of Website Content or other material restrict or inhibit any other user from using and enjoying CaseCoder services use CaseCoder services for any illegal or unauthorized purpose remove any copyright trademark or other proprietary rights notices contained in or on CaseCoder services interfere with or disrupt CaseCoder services or servers or networks connected to CaseCoder services or disobey any requirements procedures policies or regulations of networks connected to CaseCoder services use any robot spider site search retrieval application or other device to retrieve or index any portion of CaseCoder servic
28. ent in a separate agreement CaseCoder and its licensors make no representations or warranties regarding the accuracy or completeness of this information 5 AUTOMATIC UPDATES aseCoder Website will be updated from time to time to add features such as bug fixes patches enhanced missing plus ins and new versions collectively Updates These changes will be done by CaseCoder aquire you to do Occasionally there may be website related issues that require 9r browser based plugins CaseCoder Disclai 6 U S GOVERNMENT RESTRICTED RIGHTS If the Website is used or accessed by or on behalf of the United States government such use or access is subject to the following provision The Website and any related documentation are deemed commercial computer Website and commercial computer Website documentation respectively within the meaning of the applicable civilian and military Federal acquisition regulations and any supplement thereto If the user of the Website is an agency department employee or other entity of the United States Government the use duplication reproduction release modification disclosure or transfer of the Website including technical data or manuals is restricted by the terms conditions and covenants contained in these Terms of Service In accordance with Federal Acquisition Regulation 12 212 for civilian agencies and Defense Federal Acquisition Regulation Supplement 227 7202 for
29. es or collect information about users for any unauthorized purpose submit content that falsely expresses or implies that such content is sponsored or endorsed by CaseCoder create user accounts by automated means or under false or fraudulent pretenses promote or provide instructional information about illegal activities or promote physical harm or injury against any group or individual or transmit any viruses worms defects Trojan horses or any items of a im iar tu re 67 CaseCoder Discla 9 CASECODER SERVICES THIRD PARTY PRODUCTS AND SERVICES CaseCoder com is designed to be used in conjunction with CaseCoder s search and other services Accordingly each time you use the Website you agree to be bound by CaseCoder s Terms of Service located at http www CaseCoder com tos html 10 ADDITIONAL AMA CPT LICENSING RESTRICTIONS You may not and you may not permit others to a use this software or any information contained herein including CPT in any public electronic bulletin board or public computer based information system including the Internet and World Wide Web b publish translate or transfer possession of the Software or copy a portion of it c create derivative works based on CPT and the Software and selling leasing or licensing it or otherwise making the Electronic Media or any portion thereof available to any unauthorized party The User should ensure that anyone who has authorized access to the Software comp
30. h practice is obligated to familiarize itself with the carrier to which it will submit claims and make adjustments accordingly Discretion should be used when applying any coding techniques modifiers or claim submission elements Technical Requirements Operating System Windows XP or later MAC OS v10 5 Leopard or newer Internet Browser Internet Explorer 7 0 or newer Firefox 3 0 or newer Google Chrome Apple Safari 4 or newer Opera 10 or newer High Speed Internet Connection Cable DSL WLAN 3G or better JavaScript Enabled Contact Information Website www businessdynamicsrcm com Email contact casecoder com Hotline 1 888 337 8220 prompt 5 Address 16955 Walden Road Suite 114 Montgomery TX 77356 Casec oc er 63 CaseCoder Disclai By registering as a subscriber of CaseCoder com Also referred to as CaseCoder Find A Code or Find A Code LLC you agree to be bound by the following terms of service 1 LICENSE CaseCoder com licensing is on a per subscriber basis A Subscriber is an individual who a accesses uses or manipulates the Content available on CaseCoder com b accesses uses or manipulates the content to produce or enable an output data reports or the like c See http www CaseCoder com tos html for additional terms of service etc 2 USE OF WEBSITE RESTRICTIONS Use of Website For an individual subscriber the Website is made available to and may be used by you only for your persona
31. he concepts or designs thereof All images graphics and designs are the copyright of the aforementioned companies Any improper use or infringement of the rights mentioned above will be in violation of applicable law and subject to prosecution By agreeing to the stipulations above you agree to use the product only in ways that are compliant therewith i8 Casec oce U S mmm Vg om Groups Every user will be identified as a user within a specific group and within that group will be the surgery participants that we will be coding for Updating our surgery participant list including surgeons assistant surgeons physician assistants etc is critical to the coding process when selecting codes for the appropriate participant in the surgery Fee schedules and modifier calculations are exclusive to each groups setup The group setup is a segregated system that does not allow any transfers or access to any other group user surgery participant or fee schedule Lasetoder 10 Navigating through CaseCoderEXPERT x i CaseCoder Hello Dennis Demo Patient Selection Screen First Name Emma Date of Birth Please Select Please Select 1 1 1961 1 in the existing patient s last and first name then selecttheir date Of birth CaseCocer 12 CaseCoder w x a your Hello Dennis Demo Patien
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33. l non commercial use according to these Terms of Service and the Website documentation For a business entity subscriber or government entity subscriber the Website may be used by you and your employees for internal use according to these Terms of Service and the Website documentation individual business and government subscribers are collectively referred to as You herein Restrictions Except where you have been specifically licensed by CaseCoder to do so You may not use the Website in connection with any products systems or applications installed or otherwise connected to or in communication with other websites data or other content In Summary You may not nor permit others to a modify or prepare derivative works of the web pages b rent or lease the website to a third party c use the Software in any manner that infringes on the intellectual property or other rights of another party d subscriber and admin accounts may not be transferred to another subscriber person or entity without prior authorization from CaseCoder 4 PROPRIETARY RIGHTS a CaseCoder Disc CaseCoder You acknowledge that a the Website contains proprietary and confidential information that is protected by applicable intellectual property and other laws and b CaseCoder owns all right title and interest in and to the Website and Information provided through or in conjunction with the Website including without limitation all Intellectual Property R
34. licable and any applicable agency FAR Supplements for non Department of Defense Federal 69 CaseCoder 11 ADDITIONAL ADA CDT LICENSING RESTRICTIONS Definitions 1 means the textual graphic and other editorial content included in the ADA developed publication titled CDT 2011 2012 Current Dental Terminology which includes all Update thereto and the Code defined below 2 Code means the Code on Dental Procedures and Nomenclature Each individual code comprises two components 1 five character alphanumeric designation that identifies a specific dental procedure and 2 a short written literal definition of the procedure called the nomenclature Some but not all individual dental procedure codes have a third component 3 a written narrative that provides a more detailed description of the procedure called the descriptor 3 User means an individual or entity that has purchased a Publication for personal or business use not for resale or redistribution 4 Publication s means Find A Code s publications licensed by the ADA which contain the Code or other portions of the CDT 5 Updates means any modified or updated versions or new editions of the CDT that ADA issues Users are NOT allowed to 1 alter amend or modify the Code or other portions of the CDT 2 resell transmit or distribute copies of the Code or other portions of the CDT or any electronic files or printed documents that
35. lies with the provisions of the complete license agreement CPT is copyright by the AMA All notices of proprietary rights including trademark and copyright in CPT must appear on all permitted back up or archival copies An updated version of CPT in the Software is dependent upon continuing contractual relations with the AMA CPT copyright 2007 American Medical Association All rights reserved Fee schedules relative value units conversion factors and or related components are not assigned by the AMA are not part of CPT and the AMA is not recommending their use The AMA does not directly or indirectly practice medicine or dispense medical services The AMA assumes no liability for data contained or not contained herein 68 CaseCoder Discla CPT is a registered trademark of the American Medical Association The responsibility for the content of any National Correct Coding Policy included in this product is with the Centers for Medicare and Medicaid Services and no endorsement by the AMA is intended or should be implied The AMA disclaims responsibility for any consequences or liability attributable to or related to any use non use or interpretation of information contained in this product licensing is on a per user basis A user is an individual who accesses uses or manipulates CPT Editorial Content contained in the Electronic Licensed Product or b accesses uses or manipulates the Electronic Licensed Product to pr
36. ma oan Re ae bmn Fien hpc ae Walch E d Fars E Pas Chee sd r e F 1 Aftercompleting the Verification Fom Save your cunent values by clicking the mit Save button on the bottom of the fom This will retum you to the Edit Surgery um at ae 3 ins Leder nt GP K perm Bre Bae fits au asia Abd ier Diner rat itera Cele IBnTI XE6 l SEHE screen m m asm Ema imp 2 K L ren Cm Mface pl ree Sere boll C CaseCoder 29 Hello Dennis Demo Patient Last Name Smith First Name John Date of Birth 1 1 1967 Edit Surgery Date Of Surgery 9 18 2012 Admit Surgery 9 18 2012 Place of Surgery Conroe Regional Insurance Texas Insurance Company ID 569707789 Authorization 597597979 Carrier Twne Pirwata Lo Required Fields 1 Click the Code Surgery tab to begin coding your surgical case Verification Select Additional Surgical Participants Edit Asst Surgeons Helper John MD CaseCocer 30 p OI Coding CaseCoderExpert Careers Caw 9 ss uus CA 4 The Surgery Coding Screen A Codi BERE Search code Hello Dennis Demo Surgery Coding Screen
37. oduce or enable an output data reports or the like that could not have been created without the CPT embedded in the Electronic Licensed Product even though CPT Editorial Content may not be visible or directly accessible or c makes use of an output of the Electronic Licensed Product that relies on or could not have been created without the CPT Editorial Content embedded in the Electronic Licensed Product even though CPT Editorial Content may not be visible or directly accessible U S Government Rights This product includes CPT and or CPT Assistant which is commercial technical data and or computer data bases and or commercial computer software and or commercial computer software documentation as applicable which were developed exclusively at private expense by the American Medical Association 515 North State Street Chicago Illinois 60610 U S Government rights to use modify reproduce release perform display or disclose these technical data and or computer data bases and or computer software and or computer software documentation are subject to the limited rights restrictions of DFARS 252 227 7015 b 2 June 1995 and or subject to the restrictions of DFARS 227 7201 1 a June 1995 and DFARS 227 7202 3 a June 1995 as ap plicable for U S Department of Defense procurements and the limited rights restrictions of FAR 52 227 14 987 and or to the restricted rights provisions of FAR 52 227 14 June 1987 and FAR 52 227 19
38. on Screen Last Name First Name Date of Birth 1 Click the Add New Patient tab to accessthe New Patient Entry screen CaseCocer 16 New Patient Entry Scre Hello Dennis Demo New Patient Entry Last Name Smith First Name John Date of Birth MM DD YYYY 01 01 1967 Required Fields 1 Enterthe Last Name First Name and Date of Birth of the new patient then select Save CaseCoder 17 Hello Dennis Demo Surgery History Patient Date of Select Your Activity Last Name Smith ip ry First Name John Date of Birth 1 1 1967 Since this isa new patient there will be no surgeries displayed on this screen CaseCoder 18 Surgery History Screen 2 ES E ASO se us Sel Sed VL d Hello Dennis Demo Patient Last Name Smith First Name John Date of Birth 1 1 1967 Surgery History Date of Surgery Select Your Activity l Selectthe Add New Surgery tab to access the Add New Surgery screen Casecoder 19 CaseCocer G your Hello Dennis Demo Add New Surgery Date Of Surgery Patient Last Name Smith Admit Surgery First Name John Date of Birth 1 1 1967 Place of Surgery Please Select Add New Please Select ID Authorization Auto Surgeon Plea se Select Select Additional Surgical Particip
39. s physician assistants etc selectif applicable CaseCocer 22 Hello Dennis Demo Patient Last Name Smith First Name John Date of Birth 1 1 1967 Add New Surgery I Date Of Surgery Required Fields Admit Surgery Place of Surgery Please Select AddNew Delete Insurance Please Select AddNew Delete Once you have entered all required information on the Add New Surgery screen you may selectthe Verification tab Select Additional Surgical Participants R Casecoder 23 Adding New Surgery EC c 3 WU K gt Hello Dennis Demo Add New Surgery Date Of Surgery Required Fields Patient gery _ 3 Last Name Smith Admit Surgery um First Name John Date of Birth 1 1 1967 Place of Surgery Please Select Delete By clic king the Venfication tab message will appear Insurance Please Select AddNew Delete lt you to save m Please save current surgery in order to enable verification your work before ent D continuing on to the un dust n 4 Click Save then hitthe Select Additional Surgical Participants Vernfic ation tab Save Cancel 00 CaseCocder 24 Procedure Aulhorlzatlon Procedure Authorizailon information Account Primary snsssranape ans Phone Minh Cute
40. stamding They were was insirucbed te call with any questions or problems that might arse Postoperative medications were discussed Complications none EBL less than 10 cc Plan Return to the clime in ene week lor suture removal and postoperative evaluation John Doc DDS 3 18 05 Operative Report Sample Patient Name J ohn Smith Date 09 18 2012 Surgeon Edward Bone MD Assistant Surgeon J ohn Helper MD Preoperative Diagnosis Procedure Performed Anterior cervical decompression and fuson below C2 at2 levels CaseCoder 36 Surgery Coding Screen Surgery Coding Screen Search code ICD9 Codes None Osteotomy Surgeon cH Bone Edward MD CPT Code Mod Units Assistant Surgeon Helper John MD CPT Code Mod Units Hom the Surgery Coding Screen select AY the tab labeled Fusion Grafting ERM Cod es 2 Misc Neurostimulators Casecoder 37 Fusion Grafting Tab I I Fusion Grafting Surgeon By selecting this tab a box Will Extracavitary Lateral an hI m er CPT Code Mod Units appear containing all ofthe codes gt 2 was lt a related to your selec tion You will Anterior e E notice thateach code is we nim w22 y m22550m S Mod Units organized underthe appropriate Add sub category posterior c Itis understood thatthe people w2620m milt mGy 226244 who are using the a s CaseCoderExpertand
41. t Last Name Hurtin First Name Emma Date of Birth 1 1 1961 Surgery History Date of Surgery Select Your Activity 9 1 2013 kEditPl Delete This will bring you to the Surgery History Screen forthe patient you previously selected Casecoder 13 H Y Surgery History Screen Editing Tabs for Patient This tab will prompt pop up asking if you are sure you want to delete this patient dd New Patient ss This tab will direct you to the New Patient Entry Screen Edit Patient Details atient Selection Last First Mame Date of Birth Pease Select tE p This tab will redirect you to the Patient Selection Screen EE This tab will direct you to the Edit Patient screen where you can alter the first name last name and date of birth J This tab will direct you to the Login screen for all user type access Casec ci er 14 Surgery History Screen Editing Tabs for Surgery Add New Surgery D This tab will transfer you to the Add New Surgery bam ere Ta for Edit Patient It will take you to the Edit Surgery screen This tab will take you to E the Surgery ee Details screen Casec oc er 12 Hello Dennis Demo Patient Selecti
42. tered on the ruan sten 2 rus Tree select S Add New Surgery screen Fa Far edd Par ce Pas xad ker ari app PE ic Cte Ix Bri Patient Chama Fathers Samaq Iz in Fathers nat Pater nd ielect Additional Information you Woker s Comp or insurance information pertaining Claim Policy to this particular patient Eriko er Fole hiir mirer Farmer Riese RE bna pack d lm Maile paqa 2 P Lasen Saleen Claim Opra Trt al Benefits al Derr Euhausted Frint Cancel CaseCoder 27 Cancel Verification Form Tabs Save will save the current values in the patient s electronic file Print will save the current values in the patient s electronic file and print outin a word documentfomat Cancel will not save the curent values and will retum you to the Edit Surgery screen CaseCocer 28 The Verification Form Procedure authorization mmformaticn Account m CIG 678687 eer Jan mn Ree E racun tia ahr k ol ir Ld cum I bm BL ina Flau Ti ca
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