The point of a print audit is to reduce the company’s printing costs to be able to reduce the overall costs. Some companies will often have printing machines however, many have no idea that the annual costs used on printing might be unnecessary. A print audit usually includes document scanning, photocopies, print jobs, or a mixture of these options.
The main reason for conducting a print audit is for gathering data concerning the current printer usage along with the different ways of printing resources, then determining the entire operational costs which can be incurred in the printing activities. Afterwards, strategies are set up to reduce these costs. The scope of a print audit should be stated clearly at the outset of the process. This helps to ensure that there is a suitable response, which may otherwise draw the wrong conclusions.
print audits usually involve the information on how printing services as well as resources of any company are done. This happens regardless of whether a workplace includes a modern printer shared among several people, one particular printer found on each department, or every one of the print jobs are taken outside to local vendors. Print audit information should include the fixed costs of equipment, external value of printing, repairs and general maintenance, electricity, as well as other relevant data.
The process is normally conducted by an expert who does the job by going to the premises and identifying every piece of printing equipment in use, recording their exact locations as well as the colours for each printer, calculating the running costs, and conversing with users in order to find out how the items are used and how they perform. This can help those to see how energy is consumed and to look for means of reducing wastage of energy and avoidable costs together with evaluating the safety of documents.
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An example of a mandated service would be an additional opinion consultation. This would be reported as:
9924x-32 (x = 5th digit for level of service based on documentation)
When the primary purpose of the service is the delivery of an evidence-based service in accordance with a US Preventive Services Task Force A or B rating in effect and other preventive services identified in preventive services mandates (legislative or regulatory), the service may be identified by adding modifier 33 to the service. For separately reported services specifically identified as preventive, the modifier should not be used.
This modifier was introduced in connection with reforms in the preventive services under the Patient Protection and Affordable Care Act (PPACA). The law requires all health care insurance plans to begin covering preventive services and immunizations without cost-sharing. It means health plans cannot impose cost-sharing requirements like co-pays, coinsurance, or deductibles to specified preventive services in which preventive services are billed separately. These preventive services are part of an office visit; the office visit may not have a cost-sharing condition if the reason for visit is to receive preventive services. However, cost-sharing is applicable for office visits if the primary reason for the visit is not preventive service but a preventive service was provided during that visit.
Modifier 33 is applicable for the identification of preventive services without cost-sharing in these four categories:
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examination was made for a patient with head trauma. Billing for a visit would not be appropriate if the physician only identified the need for sutures and confirmed allergy and immunization status. In the circumstance when the decision to perform a minor procedure is typically done immediately before the service (e.g., whether or not sutures are needed to close a wound, whether or not to remove a mole or wart, etc.), it is considered a routine preoperative service and a visit or consultation should not be reported in addition to the procedure.
A patient is seen for hypertension. After examination by the physician for the hypertension, the patient asks the physician to examine several skin tags. The physician determines that 13 skin tags should be removed and completes the procedure. The physician may use the 25 modifier on the office visit and be paid for the removal of skin tags also.
Jessica, a 17 year-old female presented to the dermatologist for acne. The patient is seen, medication is ordered and acne cysts are injected.
In this case the the E/M service would be included in the acne surgery.
– Only to those codes that have both a professional and a technical component.
– The professional portion includes the physician/other qualified clinician interpretation and report, and the technical component includes reimbursement for the facility, equipment, film processing, and the technician.
– If the physician/other qualified clinician provides both components of the service (for instance, by providing the service in his or her
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The physician or other qualified health care professional may need to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) unrelated to the original procedure. This circumstance may be reported by adding modifier 24 to the appropriate level of E/M service. Payment for the E/M service during postoperative period is made when the reason for the E/M service is unrelated to original procedure.
Important points regarding modifier 24:
– NEVER USE MODIFIER 24 ON A CPT SURGICAL CODE.
– When this modifier is submitted, supporting documentation must be submitted with the claim.
– The documentation must substantiate that the service is unrelated to the surgery and may include the primary ICD-10-CM code that reflects the reason for the E/M service.
– If a patient is seen within the global period of the procedure, with a new diagnosis unrelated to the procedure, modifier 24 is assigned.
– Assign modifier 79 for the unrelated procedure during the global period.
– If the surgeon must treat the patient in the operating room for complications during the global period, you may report the treatment separately by appending modifier 78.
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