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A practice management consulting and training firm working for and with physicians since 1985

Friday: Challenges In General Surgery Coding and Reimbursement

Accurate coding is essential to a economic viability, regardless whether you are in private practice or employed by a hospital or academic institution. Using incorrect surgical codes and modifiers results in denials, downcoding and payment delays – all of which can slow and reduce cash flow.

This information-8packed session provides surgeons and staff with the comprehensive knowledge and 2015 coding updates needed to accurately code and document surgical cases. Highly customized for general surgeons, the session includes real life case examples and actual surgical scenarios that bring key coding concepts to life. We’ll cover the global surgery package and modifiers, as well as drill into the details of coding for breast, colorectal, hernia, appendix, gall bladder, integumentary procedures, and more. You’ll learn the basics of central venous catheter coding along with the 2015 endoscopy code changes. You’ll leave understanding which details surgeons must document in their reports, and how staff must translate these clinical facts into codes. And you’ll take home a course workbook that includes comprehensive information and tools to support your ongoing coding efforts.
Who Should Attend This Course
Practice Executives, Administrators and Practice 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.

Team Attendance Produces The Best Results!
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. * Scroll down to register
Learning Objectives

As a result of attending this session, participants will be able to:

  • Effectively incorporate 2015 CPT code changes and guidelines into practice.

  • Describe how CPT rules and Medicare rules differ and how this impacts coding and billing.

  • Define modifiers: how they are used and how they impact reimbursement.

  • Identify coding guidelines for the most common procedures performed by general surgeons.
What's on the Agenda
Registration & Breakfast 7:15 - 8:00am
The Global Surgical Package                                                                     
  • What's included and what's separately reported?
  • Proposed Medicare Changes and How They Will Impact Reimbursement
  • Reporting Radiology Services When Not Included in the Surgical Code
8:00am – 8:15am
Surgeon Role Modifiers                                                                              
  • Co-surgery vs. Assistant: Are you reporting these correctly?
8:15am – 8:30am
Same Day Surgical Procedure Modifiers                                                 
  • Modifier 22: When is it appropriate to use a 22 and will it get paid?
  • Modifiers 50: Which procedures accept a bilateral modifier?
  • Modifiers 52 vs. 53: What's the difference and how are they used in general surgery?
  • Modifier 51 vs. 59: How do you know which one to use?
  • Understanding Medicare's Proposed Changes to Modifier 59
8:30am – 9:15am
Surgical Services Performed During the Global Surgical Period       
  • Modifiers 58, 78, and 79: What are they and how do they impact reimbursement
9:15 – 9:45am
Break                                                                                                              9:45am – 10:00am
Central Venous Catheter Basics                                                               
  • Coding Alone and with Other Procedures
  • Image Guidance Coding with Central Lines
10:00am – 10:10am
2015 Breast Coding                                                                           
  • Breast Biopsy: Open and Percutaneous
  • Sentinel Lymph Node Mapping
  • Mastectomy Coding
  • Radiotherapy
  • Case Coding
10:10am – 11:15am
Hernia Surgery Coding                                                                             
  • Hiatal/Paraesophageal Hernias: Type 1, 2, 3, 4
  • Open/Laparoscopic Hernia Repair
  • Reporting Mesh Placement
  • Reporting hernias with Other Procedures: When is it appropriate?
  • Component Separation Release
  • Case Coding
11:15am – 11:45am
Lunch                                                                                                        11:45am –12:30pm
Applying 2015 Endoscopy Changes                                                         
  • New and Revised Codes: Upper GI Coding: Esophagoscopy/EGD.
  • Case Coding
12:30pm –12:45pm
  • Lower GI Endoscopy Coding: Colonoscopy and Stomal Endoscopy
    • Sigmoidoscopy vs. Colonoscopy
    • Diagnostic vs. Therapeutic
    • Medicare Reimbursement Issues; Lower GI Endoscopy Coding
  • A Step by Step Approach to Colorectal Surgery Coding
  • Case Coding
12:45pm – 1:30pm
Appendix Surgery Overview                                                                      
  • Lap vs. Open
  • Coding Laparoscopic Repair of a Ruptured Appendix
  • When can an appendectomy be reported with other procedures?
  • Case Coding
1:30pm – 2:00pm
Break                                                                                                              2:00pm – 2:15pm
Strategic Appeals: Approaches and Essential Resources to                 
Increase Your Chances of Success!            
2:15pm – 2:30pm
Gall Bladder Surgery and Liver Biopsies                                            
  • Cholecystectomy
  • Liver Biopsy
  • Case Coding
2:30pm – 2:45pm 
Integumentary Coding: Do's and Don'ts                                               
  • Lesions
  • Soft Tissue Tumor
  • Simple, Intermediate, Complex Repairs: When can each be reported with lesion and soft tissue tumor excision?
  • Case Coding
2:45pm – 3:15pm
Endocrine Overview                                                                               
  • Thyroid
  • Parathyroid
  • Case Coding
3:15pm – 3:40pm
Trauma Coding Highlights                                                                         
  • Liver and Spleen Repairs/Resections
  • Reporting Other Procedures; Lacerations, Chest Tube, and More.
  • Case Coding
3:40pm – 4:00pm
CEU Accreditation

AAPC Accreditation Pending

To begin registering, click the button describing your ACS membership status
7:30am 8:00am Registration/Continental Breakfast
8:00am Course Begins
9:45am 10:00am Break
11:45am 12:00pm Lunch
2:15pm 2:30pm Break
4:00pm Program Adjourns

Download the Brochure

What 2014 Attendees Said

“This was well-done and informative. Teri did a great job of clarifying and answering questions. It was a great course – essential early on in a general surgeon’s career”

Charles St. Hill, University of Nevada School of Medicine

“Very informative. I have done family practice coding for 10 years, and I am new to the surgical end of coding. This is such a great review and an informative course.”

Andy Beesley, IF Surgical Specialists

“I went to an (competitors course) last year. Exact reading from the slides with no additional clarifications or explanations. I appreciate the 2-way conversation and explanation as to why this is the way… not just ‘This is how!’”

Dianne Brattain, Alaska Bariatric Center

“This course has been very informative as I am new to coding. The content of this course answered a lot of questions that I have been struggling with.”

Rae Sanchez, Delta Surgical Associates

2014 Friday Attendees

“Great course. I would highly recommend it to others.”

Joshua Froman, MCHS

“This course was amazing even though it pointed out how much I don’t know! Very helpful. Thank you!”

Debbie Bartley, Green Country Surgical Arts

 “Excellent for both young and ‘old’ surgeons and their staff.”

Shelton Viney, MD, Midland Surgical Associates

2013 Past Attendees

“Excellent!! Great resource for any practicing physician and any resident/fellow who is about to enter practice.”

Avi Bhavaraju, MD, Marietta, GA

“This course was incredibly well put together by knowledgeable staff. Speaker and content was extremely helpful.”

Cynthia Serafine, Admnistrator,
Winter Park, FL

“This course was superb. I wish I had taken this course six years ago. It should be mandatory for all new surgeons!"

Peter F Lalor, MD, Bowling Green, OH

This is my fourth year attending and I am still learning new techniques!”

Hope Dayi, Billing Manager, Provo, UT

I am extremely pleased with the information presented at these courses and am happy I made the decision to attend. I would like to get my physicians to attend next year.”

Jennifer McNabb, CPC, CGSC,
Chattanooga, TN

“Great value! Should be mandatory.”

Robert Marema, MD, Ponte Verda, FL

KarenZupko & Associates, Inc. • 625 North Michigan Avenue, Suite 2225 • Chicago, Illinois 60611 • 312.642.5616 • FAX: 312.642.5571

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