MAJOR MEDICAL REVIEW ORGANIZATION
SEEKS
ACA COUNSEL ON CODING POLICY
ARLINGTON, VA (October 1, 2003)-- Bloodhound, Inc.
(BHI), a forerunner in the medical software industry, and the American
Chiropractic Association (ACA) met recently to ensure that Bloodhound’s
coding software edits are consistent with ACA policy. Bloodhound
originally contacted the ACA to seek guidance and direction on the
issue. While insurance companies have been seeking coding advice
from the ACA for several years, this marks the first time a medical
review organization has requested such counsel from the ACA.
A major medical review vendor, Bloodhound, Inc. produces a leading
medical bill review product called "Claims Guard," that
is sold to health, automobile and workers’ compensation insurance
carriers for bill review assistance.
"Bloodhound’s interest in complying with ACA coding policy
demonstrates both the integrity of the company and the high regard
in which ACA standards are held," said ACA President Donald
Krippendorf, DC.
Bloodhound’s new President, Gary Twigg, believes in an "open
book" policy through which coding edit policies are not held
secret from providers. Because the company’s policies are
based on solid research and "intelligent data," both providers
and insurers can feel confident that unnecessary reviews will be
dramatically reduced.
"This is such a refreshing way of doing business," said
Dr. Krippendorf. "Unfortunately, many doctors have become accustomed
to getting the ‘runaround’ when it comes to fair reimbursement.
Bloodhound’s approach should be a model for other business
partners to implement."
During ACA’s meeting with Bloodhound, BHI representatives
expressed pleasant surprise that ACA had developed such extensive
policies on coding and billing, and that ACA had such intimate knowledge
and involvement in the American Medical Association (AMA) CPT process.
Additionally, Bloodhound was so impressed with the coding background
of Dr. Anthony Hamm of ACA‘s Coding Committee that they plan
to consider his involvement on an internal Bloodhound advisory panel.
According to Dr. Krippendorf, "We are very grateful that Bloodhound
came to us to make sure they are on the right track with our doctors.
It’s a very positive step. I sincerely hope they are the first
of many insurance medical review companies to come to us."
Bloodhound has assured ACA that it plans to continue its review
of ACA coding policy to work toward consistency with their edits.
Contact:
Bloodhound, Inc.
(919) 313-1627
info@bloodhoundinc.com
Don Mundie
Delta Capital Management LLC
901-755-0949 |