Basic Course—Office and Hospital Coding: What to Bill, How to Document and Appeal
(Please note: The basic course takes place on Thursdays.)
Is the visit part of the global or can it be billed separately? What about pre-op visits and complications during the post-op period? Failing to understand what is and isn’t included in the global package can cost money. Neglecting to use the right modifier will result in denial and delay. This seminar designed for surgeons, surgical coders, billers, and managers will describe the global surgical package and provide a foolproof chart on how to select the right category of code.
Confused about critical care billing during the pre-op and post-op periods? This session will provide specific examples for each.
Some surgeons bill all low-level codes, and some surgeons think everything is the highest level. This seminar will describe the level of history and exam that are needed and how those relate to the nature of the presenting problem and the complexity of the patient. Many practices are using an electronic health record (EHR) now, and should heed the warnings about their use and the use of templates.
The Office of the Inspector General (OIG) has defined over documentation and copy-paste in a recent report. Learn what you need to do to protect yourself and your practice from these EHR documentation dangers. The Centers for Medicare & Medicaid Services (CMS) is committed to implementing ICD-10 in 2015. Is your practice ready? Are you hoping your mapping program will do all of the work? What documentation improvements should you make today?
Who is responsible for coding: the physician or the coder? This session will describe coding models, ways to deal with disagreements, and strategies for employed surgeons.
Advanced Course—Challenges in General Surgery Coding and Reimbursement
(Please note: The advanced course takes place on Fridays.)
Accurate coding is essential to economic viability, regardless of whether you are in private practice or employed by a hospital or academic institution. Using incorrect surgical codes and modifiers results in denials, downcoding, and payment delays—all of which can slow and reduce cash flow.
This information-packed session provides surgeons and staff with the comprehensive knowledge and 2015 coding updates needed to accurately code and document surgical cases. Highly customized for general surgeons, the session includes real-life case examples and actual surgical scenarios that bring key coding concepts to life. We’ll cover the global surgery package and modifiers, as well as drill into the details of coding for breast, colorectal, hernia, appendix, gall bladder, integumentary procedures, and more. You’ll learn the basics of central venous catheter coding along with the 2015 endoscopy code changes. You’ll leave understanding which details surgeons must document in their reports, and how staff must translate these clinical facts into codes. And you’ll take home a course workbook that includes comprehensive information and tools to support your ongoing coding efforts.