Fast Track to Payment: Coding, Billing and Reimbursement for Surgical Services
The path from a patient's initial encounter or emergency surgery to final payment is a complex and interrelated process. This process requires accurate assignment of CPT codes, modifiers, and diagnoses codes; the submission of a “clean” claim; and an understanding of government and payer rules. All of these components contribute to receiving the correct payment. Overlooking even one step—or making the wrong coding choice—can result in a denial and impede cash flow.
In this session, you'll learn the processes necessary to effectively code, bill, and collect for patient encounters and surgeries. We will also cover practice management essentials such as tracking financial metrics, evaluating RVU reports, implementing time-of-service collections and surgery deposits, effectively contracting with plans, and understanding the basics of Medicare Access and CHIP Reauthorization Act (MACRA) and the Merit-based Incentive Payment System (MIPS) quality initiative. Attendees will leave with the knowledge that puts payments on the fast track. The workbook appendix includes coding rules for teaching physicians.
What’s New in the 2017 Workshop?
- Medicare requirements for reporting post op visits
- Differences between coding and reimbursement
- Critical care for trauma
- Coding for benign and malignant lesions, wound repair, soft tissue tumors
- Wound care coding
- MACRA rules—MIPS and Alternative Payment Models (APMs)
2017 Mastering General Surgery Coding
Packed with procedure coding instruction, a majority of this workshop is focused on coding for procedures that general surgeons perform the most. This year we've added abdominal reconstruction, bariatric surgery, intra-abdominal tumor, and intraoperative chemotherapy coding to the workshop. Our easy-to-follow teaching methods integrate case examples and operative notes so that you leave feeling confident about your coding ability.
We will also address the changes to endoscopy coding in 2017, explaining how to report the new moderate sedation codes and what to expect in terms of reimbursement change. We'll cover the essential aspects of the global surgery package, including how to select the right modifier for surgeries performed within the global period. You'll also learn how to navigate the complexities of correctly reporting surgeon role modifiers and same day procedure modifiers to ensure payment for your services.
What’s New in the 2017 Workshop?
- Endoscopy 2017 coding changes: lower reimbursement and separate billing of moderate sedation
- Abdominal reconstruction coding
- Bariatric surgery
- Intra-abdominal tumor and intraoperative chemotherapy coding
- More trauma coding
Testimonials from Prior Course Participants
Great course. Bring your coder! (I did.)
— John Choi MD, Poughkeepsie, NY
Very informative! This is a 'must' workshop for providers and their coders. The speaker is very knowledgeable, and she was easy for me to understand.
— Chariza Brenner, CPC, CEMC, New York, NY
This course has truly opened my eyes as to how important my documentation is. It was presented in an engaging, interesting fashion. It inspired me to learn more! All physicians need to be aware of this material.
— Neena Singh, MD, Portland, ME
Excellent content! This is a 'must' for all surgeons.
— Calvin David, MD, Arlington, VA
Excellent, enthusiastic speaker. The information was up to date and nicely specific for surgeons.
— J. Duncan Phillips, MD, Raleigh, NC
This course was a vital introduction for young surgeons looking to understand how coding and payments work. The topic and contents were well laid out each day. The pace of the presentation was well done.
— David Luyimbazi, MD, Roanoke, VA
Excellent. In-depth. Practical.
— Fredrick French, MD, Spokane, WA
Excellent resource. This is a 'must' for all young physicians new to practice.
— Chike Chukwumah, MD, Hartford, CT
Tons of information is presented well with good audience interaction.
— Sara Hartsaw, MD, Gillette, WY