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!!
is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. This course is offered for 6 contact hour(s).
This educational offering qualifies for 6 continuing education hour(s) as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.
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| Course Manual_Insurance Coding and Billing for the Medical Office: 2018 (5.72 MB) | Available after Purchase |
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.
Course Content
FIRST LOOK AT 2018
THE CODING PROCESS IN THE CHANGING HEALTHCARE ENVIRONMENT
NAVIGATING THE INS AND OUTS OF THE CLAIMS SUBMISSION PROCESS
DOCUMENTATION, DOCUMENTATION
EFFECTIVE TECHNIQUES FOR BETTER BILLING
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