Pediatric Application of Coding and Valuation Systems

Author:

Kanter David M.1,Molteni Richard A.2,Andreae Margie C.,Bradley Joel F.,Brewer Eileen D.,Krug Steven E.,Liechty Edward A.,Linzer Sr Jeffrey F.,Parsi Linda D.,Pillsbury Julia M.,

Affiliation:

1. Mednax Services Inc, Sunrise, Florida; and

2. Joint Commission International and Department of Pediatrics, School of Medicine, University of Washington, Seattle, Washington

Abstract

The American Academy of Pediatrics provides this technical report as supplemental background to the accompanying coding and valuation system policy statement. The rapid evolution in health care payment modeling requires that clinicians have a current appreciation of the mechanics of service representation and valuation. The accompanying policy statement provides recommendations relevant to this area, and this technical report provides a format to outline important concepts that allow for effective translation of bedside clinical events into physician payment.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference19 articles.

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2. US Food and Drug Administration. National drug code directory. Available at: https://www.fda.gov/drugs/informationondrugs/ucm142438.htm. Accessed April 10, 2018

3. Optum Coding Systems. Understanding NDC and HCPCS. 2017. Available at: http://helioscomp.com/docs/default-source/White-Paper/understanding-ndc-and-hcpcs-codes.pdf. Accessed April 10, 2018

4. American Medical Association. RBRVS overview. Available at: https://www.ama-assn.org/practice-management/rbrvs-resource-based-relative-value-scale. Accessed April 10, 2018

5. Estimating physicians’ work for a resource-based relative-value scale;Hsiao;N Engl J Med,1988

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