STD Billing and Reimbursement Toolkit

 

icon of a sheet of paper with a penEnhance Coding Capacity

Features introductory e-learning resources on coding for reproductive/sexual health services. Also offers coding job aids, a customizable encounter form, information about preventive services codes and a transition to ICD-10 section. small star icon indicates recommended tool

Superbill & Coding

Tool description Format
Coding Guide
For nucleic acid amplification testing to diagnose nongenital infections with gonorrhea and chlamydia – Centers for Disease Control and Prevention
 PDF
Sample Encounter Form / Superbill                                                           *Updated!icon of a yellow star
A ready-to-use, and easily modifiable sample encounter form developed for STD providers. The form is designed to reduce the coding burden and facilitate the health care claims reimbursement process. [Customizable for clinic needs] – Region I STD TAC, 2015
Excel
Coding in the Reproductive Health Care Environment icon of a yellow star
With units designed for beginner, intermediate and advanced coding, this e-learning course covers in detail the coding process and provides cases studies for providers to test their skills. – Family Planning National Training Centers
Link
Coding and Documentation Webinar
This webinar provides an overview of coding for STD services, including a review of ICD-9/ diagnosis/ CPT coding for common STD services, understanding coding for Evaluation and Management visits, and the use of modifiers. – Region I STD TAC, 2013
Link
Coding FAQs                                                                                                       *NEW!
Detailed answers to frequently asked questions for coding  for STD services. – Region I STD TAC, 2015
PDF
Reproductive Health ICD-9, CPT and, Evaluation and Management (E/M) Codes
This tool lists commonly used ICD-9, CPT, and E/M codes for reproductive health care as well as easy-to-use E/M decision-making tools. – Family Planning National Training Center, 2014
 Link
RN Billing & Coding FAQs                                                                            *Updated!
Detailed answers to frequently asked questions about RN billing for STD services. – Region I STD TAC, 2016
PDF
Evaluation and Management Code Selection Overview                                  *NEW!
A decision-making job aid to be used in coding for Evaluation and Management (E&M) visits for new and established patients, for codes 99201-99205 and 99211-99215. – Region I STD TAC, 2016
PDF
List of ACA Preventive Services & CPT Codes                                          *Updated!
A list of STD services-related preventive services covered by ACA without cost-sharing and their respective billing codes. – STD TAC, 2016
PDF
Billing Information – CPT and Other Sources: Women’s Health Screening
This factsheet outlines services available for women’s health screenings—along with the diagnosis and procedure codes for each. – Psychiatry Online
PDF
Billing for PrEP                                                                                                   *NEW!
A summary of billing codes compiled from medical providers across the country who are prescribing Truvada for PrEP to their clients. – San Francisco AIDS Foundation, 2014
Link
Billing Coding Guide for HIV Prevention
This coding guide describes scenarios for PrEP initiation and follow-up, adherence, linkage and other counseling services, and for lab tests for HIV and other STIs. – NASTAD, 2016
Link

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Transition to ICD-10

Tool description Format
Sample Encounter Form / Superbill with ICD-10 Codes                                *NEW!icon of a yellow star
A ready-to-use, and easily modifiable sample encounter form developed for STD providers with ICD-10 codes. The form is designed to reduce the coding burden and facilitate the reimbursement process. [Customizable for clinic needs] – Region I STD TAC, 2015
Excel
ICD 10 for Safety Net Providers
This HRSA resource provides links to learn more about implementation of ICD-10 for medical coding and an on-demand webinar. It supplies links to the CMS and WHO websites, which offer succinct summaries of ICD-10. – HRSA
Link 
Online ICD-9 / ICD-10 Conversion Tool
This website provides information about ICD-10: related general codes, diagnostic codes, conversion, and indexes. – ICD10data.com
Link
ICD-10 Action Plan
Detailed transition plan that outlines 3 phases and 12 steps necessary to plan, analyze, implement, and train for ICD-10. – American Medical Association, 2012
PDF

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