American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Supercharge Your Reimbursement Skills

Who Should Attend This Course

General Surgeons

Getting paid is a team effort—and surgeons lead the team. If the doctors don’t understand what’s needed in an operative report from a coding and reimbursement point of view (something they don’t teach in residency) they are short changing themselves.

Practice Administrators and Managers

You are the chief compliance officer in most private practices. In order to supervise the economic engine of the practice you must understand the business office operations.

Coders and Billers

If you’re responsible for entering data, working denials, applying modifiers, posting payments, and filing appeals, your expertise in surgical and office coding must be exacting in its execution!

Hospital or MSO Executives Running General Surgery Practices

Maximize your profits! Understand what is special and unique about billing for the general surgery service line, and keep your surgeons happy and bonus-able. (Not to mention reduce compliance headaches.) Learn the rules and avoid using incorrect and expensive assumptions that result in fiscal disaster.

Register now!

Learning Objectives

As a result of this course participants will be able to:

  • Select the correct category of code and level of service for E/M visits.
  • Appropriately assign modifiers to E/M visits.
  • Accurately code lesion excision and repair codes.
  • Describe the medical and surgical services that are and are not included in the global payment for surgery.
  • Assess and improve one key aspect of the revenue cycle function.
  • Implement strategies for collecting from patients with high-deductible health plans.
  • Identify the services that are part of the global package and services that may be billed in addition to procedure codes.

What’s On the Agenda

E/M Coding Deep Dive

  • Select the right type of service
  • Document and bill the right level of service
  • show the medical necessity for the service with accurate ICD-10-CM diagnosis coding
  • Code these cases
  • E/M modifiers
  • Critical care in and out of the global period

Avoid Costly Coding Errors: Lessons from the Office of the Inspector General and Department of Justice

  • Modifier 25, lending and borrowing provider numbers, and medical necessity
  • Scheduling patients outside of the global period
  • Coding data: access your audit risk

Coding for Skin Procedures

  • Benign and malignant lesions, soft tissue tumors, wound repair, wound care, debridement

CMS Mandate

  • Learn which states need to report post-op visits
  • Post-op visits in the hospital and office

Strategies to Reduce No-Show Visits

  • Tracking the source, reason and revenue loss for no-shows
  • Strategies to reduce empty appointment slots

Essential Business Skills for Reimbursement

  • Techniques to rev up the revenue cycle
  • Collecting from patients with high deductible health plans
  • Proven techniques for decreasing denials and payment delays
  • Developing key performance indicators that improve productivity