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Insurance Coding and Billing for the Medical Office: 2018
- Faculty:
- Debra Mitchell, MSPH, CPC-H
- Duration:
- 5 Hours 47 Minutes
- Format:
- Audio and Video
- Copyright:
- Oct 25, 2017
- Product Code:
- WDS020684
- Brochure Code:
- CBMED4
- Media Type:
- Digital Seminar
- Access:
- Never expires.
Description
Ensuring Proper Payment for the Medical Office
In the majority of healthcare cases poor reimbursement, improper coding, and documentation is the culprit. While it is important to be paid for the services rendered by our providers, it is also important for the claims to be accurately coded. If we recognize that claims are a reflection of the patient, as well as the provider office, then the services and the diagnoses billed must be those which are documented in the medical record. Dealing with denied and rejected claims can be costly and frustrating! Not to mention ever-changing healthcare guidelines, laws, and codes.
This recording is designed to help you understand the claims process and avoid unnecessary back-end work, achieving optimal reimbursement, THE FIRST TIME, and success for your medical office. Develop a better understanding of how to effectively utilize CPT, ICD-10-CM, HCPCS II, and modifier codes to ensure proper payment. This course is a MUST for anyone who is involved in coding, billing, or reimbursement for the physician practice—including the physicians themselves!!
Credits
Handouts
| File type | File name | Number of pages | |
|---|---|---|---|
| Course Manual_Insurance Coding and Billing for the Medical Office: 2018 (5.72 MB) | Available after Purchase |
Faculty
Debra Mitchell, MSPH, CPC-H Related seminars and products
DEBRA MITCHELL, MSPH, CPC-H, is a consultant and auditor for coding and compliance as well as a professional instructor in coding, billing, and medical terminology for adult education at the college level. Her educational experiences coincide with her 30 years of medical records and billing experience at every level of responsibility. As an auditor, she performs routine audits and provider education for an orthopedic billing service. In addition, she works for a consulting firm that specializes in cardiology. Ms. Mitchell has developed several courses for adult education programs in medical coding and billing at the college level and has contributed to the development of a coding certification program. She supervised a statewide Medicaid "peer review" program, which conducted quality reviews of services provided to the recipients, medical record documentation, and correct coding audits. Her teaching ability is reflected in the professional success of her students and her excellent evaluations. Ms. Mitchell brings an effective communication style to this very important subject and provides an enjoyable and worthwhile learning experience.
Ms. Mitchell is a member of the American Academy of Professional Coders, certified in hospital coding, and named to the Biltmore's Who's Who in America's Professional Women.
Additional Info
Program Information
Access for Self-Study (Non-Interactive) Access never expires for this product.Target Audience
Coding and Billing, Medical Office, Medical Records Personnel, Nurse Management, Nurse Practitioner, Nursing, Physician AssistantOutline
Course Content
FIRST LOOK AT 2018
- The coding process
- What to expect for 2018
- The OIG Work Plan
- Proper use of prolonged time codes - how this can help your practice, immediately
THE CODING PROCESS IN THE CHANGING HEALTHCARE ENVIRONMENT
- 2018 ICD-10-CM codes—a closer look
- OIG work plan issues for physician billing
- An overview of CPT changes
- Modifiers and which ones can enhance reimbursement
- Unraveling the complexities of Medicare, Medicaid, and Third Party Insurance
NAVIGATING THE INS AND OUTS OF THE CLAIMS SUBMISSION PROCESS
- Know when documentation must be submitted with the claim
- The elements of an incident-to claim
- Recognize CCI edits (bundling) and understand how and when to unbundle
DOCUMENTATION, DOCUMENTATION
- What to do if you have been downcoded
- How to analyze and solve difficult billing problems
- What to look for with a denial for medical necessity
- Understand what to use from the documentation for an appeal or correction
EFFECTIVE TECHNIQUES FOR BETTER BILLING
- How to avoid the most common errors
- Know when to appeal and when to "write it off"
- Understanding the importance of physician profiling
- News from the CMS front that may impact your billing
Objectives
- Maximize your reimbursement by emphasizing proper coding
- Outline the 2018 changes to ICD-10-CM and CPT codes and how they affect your practice
- Identify when to use attachments
- Explain how to treat medical necessity denials
- Assess what ICD-10-CM denials are most popular common
- Discuss tips and techniques to obtain optimal and timely reimbursement
- Examine bundling and how or when to unbundle codes
- Illustrate proper submission of incident-to claims
- Recognize what downcoding is and how to fight it and avoid it
Reviews
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Overall: 4.3
Total Reviews: 17
Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.
ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.
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