Best Practice

Best Practice

For each department in a facility, there are CPT® codes that are normally used in an idealized or "best practice" situation. Best Practice helps you to find those CPT® codes for which you could be charging, but are not. You can then add appropriate charge items to the HPT file.

Before using Best Practice, it is recommended that you have moved all charge entries in a GL/Department to the Valid tab. This assures that all existing coding, billing, and compliance issues have been addressed and your file has been cleaned up before you start looking for missing charges.

Before you use Best Practice, arrange an interview with the department manager. You will need the manager's help in deciding which charge items should be added to the HPT file.

To use Best Practice

Choose Tools > Best Practice from the main menu. The Best Practice window displays. [Picture]

Select the required department from the GL drop-down list. The main window details procedures that are carried out by an ideal department of this kind. The procedures listed are those which do not exist in your current HPT file.

Optionally, you may highlight CPT Codes recently added to the code book by selecting one of the two Indicate options and setting the available options as detailed below:

Indicate CPT/HCPCS with effective dates...

in the past
in the future
in the last month
in the last 3 months
in the last 6 months
in the last year
between any two specified dates.

Selecting one of these options places a dot against the appropriate charges and turns the text bold.

Optionally, to view the long description of a procedure, highlight the procedure. The description appears in the description window. You may click on the icon to view full details of the selected code.

Ask the department manager which of the suggested procedures are actually performed in the department. Put a check mark in the box of each procedure that is performed.
Click on the Apply button. The procedures are removed from the list and new charge items are added to the appropriate tab on the HPT file. (The charge items go through the normal processing, and may be put on the Valid, Compliance or Link tabs).
Click on the Close button.

You should review the new charge items created and allocate new service codes in the appropriate field(s).

Pass Through devices

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