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Future Medical Cost Projections
Module 8 Research, with handout
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Skill Set Analytical skills Language skills Math skills Computer skills Copyright InSitu Academy
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Analytical Skills Review medical records Interview client Understand and apply standard of care protocol Build a Medical foundation for treatment recommendations Explicit information Implicit information Apply Case Management Protocol for scheduling and replacement Copyright InSitu Academy
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Language Skills Grammar Punctuation Spelling Legalese Using bullet points Factual, non-interpretive comments Presentation Consistency Thought processes Detail oriented Copyright InSitu Academy
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Math Skills Basic calculations Ability to spot red flags Attention to detail Copyright InSitu Academy
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Computer skills Word documents Xcel spreadsheets Dropbox Quickbooks Organizational tools Copyright InSitu Academy
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Resources Actual billing records Providers Internet Data banks Med/Data American Hospital Directory Super coder State WC fee schedules Medicare fee schedules State life expectancy charts CDC life expectancy charts Physician’s Fee and Coding Copyright InSitu Academy
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MedLife/MedData Subscription service Outpatient services only All states worker’s compensation fee schedules Usual and customary fee schedules Medicare fee schedule Searchable by zip code Uses CPT codes as base Consider purchasing individually or join InSitu subscription services Copyright InSitu Academy
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American Hospital Directory
Subscription service Inpatient costs Ambulatory center costs Annually reported costs Does not include total costs Searchable by city Uses DRG and APC codes as base Consider purchasing individually or join InSitu subscription services Copyright InSitu Academy
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Super Coder Subscription service Itemizes various components of procedures Especially helpful for procedures, injections Utilizes CPT codes as base Consider purchasing individually or join InSitu subscription services Copyright InSitu Academy
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State WC Fee Schedule Purchased resource Book form Online service Changes made throughout the year Updates periodically, each state different Most states do not have a fee schedule for facility charges Information also found in MedLife/MedData Consider obtaining individually or join InSitu subscription services Copyright InSitu Academy
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Medicare Fee Schedule Reduced fees Varying fee schedules for different parts of the country Some regional differences in same state Not all treatment/services covered by Medicare MedLife/MedData best resource Internet search available but tedious Consider purchasing individually or join InSitu subscription services Copyright InSitu Academy
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State Life Expectancy Chart
Internet resource Each state has a chart Some are updated periodically Some are never updated Some states defer to CDC life expectancy Used for both worker’s compensation and personal injury cases Consider obtaining individually or join InSitu subscription services Copyright InSitu Academy
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CDC Life Expectancy Chart
Internet Updates annually Most use total population charts Download most recent edition and retain in reference packet Copyright InSitu Academy
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Physician’s Fee and Coding
Available in book or CD format Outpatient services only CPT codes used as base for cost calculations Best source MedLife/MedData Offers educational information in each chapter Consider purchasing individually or join InSitu subscription services Copyright InSitu Academy
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Cheat sheets Common CPT codes and costs Common equipment Common surgeries Have redi-reference guides for these daily used informational tools Copyright InSitu Academy
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Templates Referral sheet Medical records chronology Intake interview Cost projection worksheet Cost projection narrative report Other templates found in administrative module Prepare individually or participate in InSitu subscription program Copyright InSitu Academy
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Homework Contact each of the data resources, determine annual subscription cost Contact state worker’s compensation board and find out cost of medical fee schedule and update schedule Compile list of commonly used equipment, and begin internet research on average/range of costs Copyright InSitu Academy
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Contact Information Copyright InSitu Academy
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