2.50
Hdl Handle:
http://hdl.handle.net/10755/164181
Category:
Abstract
Type:
Presentation
Title:
ABC Codes: Documenting CNS Productivity and Billing Fees
Author(s):
Dayhoff, Nancy E.; Moore, Patricia S.
Author Details:
Nancy E. Dayhoff, EdD, RN, Clinical Solutions, LLC, Columbus, Indiana, USA, email: nacnsorg@nacns.org; Patricia S. Moore, MSN, RN, CDE
Abstract:
Significance: ABC Coding is a standardized multidisciplinary coding system that is recognized by the American Nurses Association as supporting nursing practice. NACNS has been working with ABC Coding Solutions-Alternative Link, Inc. to validate ABC codes for CNS practice. Background/Design: Using nationally standardized codes, such as the ABC codes, facilitates CNSs fulfilling their responsibilities for documenting interventions in a reportable manner. Codes assist CNSs to document productivity and quality in the work setting, develop billing fees for CNS practice, and generate claims to insurance payment organizations. ABC codes are supported by references to the laws in each state to ensure that the care represented by each ABC code is within the legal scope of practice of CNS Practice. Methods: The presentation will provide an overview of the ABC Coding taxonomy and describe how codes can be used to describe CNS practice. Specific examples for acute and non-acute settings will be provided. The method for determining a fee structure using relative value units will be discussed. Findings: At the end of the session, the learner will be able to identify ABC codes for CNSs use in acute and non-acute settings, and describe an appropriate fee associated with ABC codes for any practice location or reimbursement contract using the relative value unit system. Conclusions: CNSs who currently bill for interventions typically use CPT or HCPCS II codes, which are codes primarily used to describe medically directed care. Using codes specifically developed for and validated by CNSs will make CNS interventions visible and will support the productivity and value of CNSs within the healthcare system. Implications for Practice: By using ABC codes, CNS interventions will be visible to policy makers. Coding for CNS practice will enable payers to meet consumer demand for greater access to CNS services. Payers will have ability to identify cost-effective options to medical models of care. Graduate programs should consider including the use of codes for tracking productivity and quality and for billing.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
CNS Outcomes: Ensuring Safety and Quality
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Phoenix, Arizona, USA
Description:
Conference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleABC Codes: Documenting CNS Productivity and Billing Feesen_GB
dc.contributor.authorDayhoff, Nancy E.en_US
dc.contributor.authorMoore, Patricia S.en_US
dc.author.detailsNancy E. Dayhoff, EdD, RN, Clinical Solutions, LLC, Columbus, Indiana, USA, email: nacnsorg@nacns.org; Patricia S. Moore, MSN, RN, CDEen_US
dc.identifier.urihttp://hdl.handle.net/10755/164181-
dc.description.abstractSignificance: ABC Coding is a standardized multidisciplinary coding system that is recognized by the American Nurses Association as supporting nursing practice. NACNS has been working with ABC Coding Solutions-Alternative Link, Inc. to validate ABC codes for CNS practice. Background/Design: Using nationally standardized codes, such as the ABC codes, facilitates CNSs fulfilling their responsibilities for documenting interventions in a reportable manner. Codes assist CNSs to document productivity and quality in the work setting, develop billing fees for CNS practice, and generate claims to insurance payment organizations. ABC codes are supported by references to the laws in each state to ensure that the care represented by each ABC code is within the legal scope of practice of CNS Practice. Methods: The presentation will provide an overview of the ABC Coding taxonomy and describe how codes can be used to describe CNS practice. Specific examples for acute and non-acute settings will be provided. The method for determining a fee structure using relative value units will be discussed. Findings: At the end of the session, the learner will be able to identify ABC codes for CNSs use in acute and non-acute settings, and describe an appropriate fee associated with ABC codes for any practice location or reimbursement contract using the relative value unit system. Conclusions: CNSs who currently bill for interventions typically use CPT or HCPCS II codes, which are codes primarily used to describe medically directed care. Using codes specifically developed for and validated by CNSs will make CNS interventions visible and will support the productivity and value of CNSs within the healthcare system. Implications for Practice: By using ABC codes, CNS interventions will be visible to policy makers. Coding for CNS practice will enable payers to meet consumer demand for greater access to CNS services. Payers will have ability to identify cost-effective options to medical models of care. Graduate programs should consider including the use of codes for tracking productivity and quality and for billing.en_GB
dc.date.available2011-10-27T11:43:33Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:43:33Z-
dc.conference.date2007en_US
dc.conference.nameCNS Outcomes: Ensuring Safety and Qualityen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionConference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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