Discuss the essence and function of HCPCS.
HCPCS stands for Heathcare Common Procedure Coding System. There are three levels of HCPCS codes.
Level I code set contains the Physicians Current Procedural Terminology, they are listed in the CPT book maintained by the AMA. These are five-digit numeric codes.
Level II code set is for medical services not included in Level I. These codes use an alpha for the first character followed by four-digits. These codes mainly representing medical supplies, durable medical goods, non-physician services, and services not represented in the Level I code set. The development and use of HCPCS Level II codes began in the 1980s.
Level III codes are local codes and are used when the services for the first two code
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To stop the use of outdated or incorrect codes for procedures
To verify ICD-10-CM and electronic health record (EHR) meaningful use readiness
There are three types of Audits:
Accreditation audit
External audit
Internal Audit
Accreditation audit - Accreditation is an internationally recognized evaluation process. It is used in many countries to assess the quality of care and services provided in a range of areas such as health care, long term residential aged care, disability services, and non-health related sectors such as child care.
The main elements of the accreditation process are:
Self-assessment by the home against the Accreditation Standards
Submission of an application for re-accreditation (with or without the self-assessment)
Assessment by a team of registered aged care quality assessors at a site audit
A decision about the home’s accreditation by a decision-maker (not part of the assessment team)
Issue of an accreditation certificate
Publication of the decision on this website
Unannounced visits to monitor homes’ on-going