What You’ll Discover in Debra Mitchell Insurance Coding and Billing for the Medical Office 2019
- Faculty:
- Debra Mitchell
- Duration:
- 5 Hours 26 Minutes
- Format:
- Audio and Video
- Copyright:
- Sep 19, 2018
Description
Ensuring Proper Payment for the Medical Office
In the Majority of healthcare cases are not properly coded or reimbursed. and Documentation is the culprit. It is vital to pay attention. for the It is vital to also acknowledge the services provided by our providers for the Claims must be correctly coded Recognizing that claims reflect the reality of the Patient, as well the Provider office the Services and the Diagnoses that are billed must match the documentation. the Medical record. Handling denied and Rejection of claims can result in costly penalties and frustrating! It’s frustrating!-Changing healthcare laws and guidelines and codes.
This recording is intended to assist you in understanding. the Claims process and Avoid unnecessary back-End work, maximum reimbursement THE FIRST TIME and It was a great success for Your medical office. You will gain a better understanding of ICD and CPT.-10-HCPCS II, CM and Modifier codes are required to make sure proper payment. This course is mandatory for Anybody involved in coding or billing. for the physician practice—including the The doctors themselves!!
Handouts
Manual Insurance Coding and Billing for the Medical Office (5.89 MB) | 158 Pages | Available after Purchase |
Outline
FIRST LOOK 2019
- The coding process
- What should you expect? for 2019
- The OIG Work Plan
- How to use prolonged time codes in your practice immediately
CODING IN THE CHANGING HELCARE ENVIRONMENT
- 2019 ICD-10-CM codes—a closer look
- OIG work plan issues for physician billing
- An overview of CPT Changes
- Modifiers and Which ones can increase reimbursement?
- Unraveling the Medicare and Medicaid complexities and Third Party Insurance
NAVIGATION OF THE CLAIMS SUBMISSION PROCESS: THE IN AND OUTS
- Be aware of when documentation must be submitted the Claim
- An incident’s elements-Claim
- Recognize CCI edits (bundling) and Learn how and When should you unbundle
DOCUMENTATION, DOCUMENTATION
- What to do if you have been downcoded
- How to analyze and solve difficult billing problems
- What to Look For for Denial for Medical necessity
- What to Use From? the Documentation for Appeal or correction
EFFECTIVE TECHNIQUES TO BETTER BILLING
- How to avoid the most common errors
- When to appeal and What to do? “write it off”
- Understanding the Important role of physician profiling
- News from the You may have to change your billing through the CMS front
Faculty
Debra MitchellCPC, MSPH-H Similar seminars and products: 1
Debra MitchellCPC, MSPH-H, Is coding a possibility? and Consultant in compliance and Auditor, based on 30 years of experience in the field. Her expertise is also shared through nationally-presented continuing education events that benefit all those who work in coding. and Billing roles Debra This has been a contributing factor to the Development of a program for coding certification and Supervised a statewide Medicaid program “peer review” program. Her commitment to the Specialty is represented as Debra Maintains active membership the American Academy of Professional Coders and Certified in hospital coding.
Disclosures to Speakers:
Financial: Debra Mitchell PESI, Inc. gives a speaking honourarium
Non-financial: Debra Mitchell Is a member the American Academy of Professional Coders.
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