Friday: Successful Surgical Coding and Compliance

* Surgeons serious about receiving optimal reimbursement

* Managers responsible for coding, compliance and accounts receivable

* Hospital personnel who bill for employed surgeons

* Certified coders

* Coding and billing staff

Team attendance produces the biggest “bang” in terms of results!

Attendance on Thursday covers the key coding concepts and focuses on E&M as well as diagnosis coding.

*Scroll down to register

New in 2012

Surgical Coding Update 2012;

What changed in reporting Skin Replacement Surgery Codes

Abdominal paracentesis

Guideline Changes and Code Revisions for :

• Endovascular  Guideline Changes
• AV shunt guidelines
• Bone Marrow Harvest
• Lymphadenectomy

2012 Surgical Case Coding Highlights

• Colorectal Coding :

  o    Colonoscopies  
  o    Resections

• Breast Coding
• Thyroid   Surgery
• Laparoscopic Case Coding
• Herniorrhaphy

  o    Open Repair
  o    Laparoscopic
  o    Component Separation Release

• Burn Cases
• Lesions and repair
• Burn Coding Overview

Modifiers Made Understandable

Modifiers are part of surgical compliance.  Incorrect application indicates a leak in the compliance plan  As a surgeon, are you confident claims are submitted accurately? IS there risk in your practice?  Will  you be vulnerable to an audit three years from now because of case coding errors today?

When do you use modifier 58 or 78? Is the difference important?  What affect do these modifiers have on reimbursement and global days?   

Are surgical procedures performed during the global period reportable:

Can you bill an E&M on the same day as a surgical procedure?  Remember the global surgical package definition.

As a result of this course participants will:

• Discuss the importance of accurate coding to minimize financial and audit risks
• Differentiate the distinct rules associated with surgical modifiers 58,78 and 79 during the post-operative period
• Apply coding and modifier guidelines to accurately report multiple procedure combinations
• Determine proper use of Modifiers, CPT vs. HCPCS Level II codes and Medical Necessity (linking diagnosis to procedure/service)
• Accurately apply coding concepts related to excision of lesions, lipomas, soft tissue tumors and wound repair
• Compare  reimbursement methodologies among varying payors and the potential financial impact to practice
• Demonstrate understanding of  CPT rules payor reimbursement rules  to develop effective appeals

CME CREDIT

The American College of Surgeons designates this educational activity for a maximum of 6.5 AMA PRA Category 1 Credits™.  Physicians should only claim credit commensurate with the extent of their participation in the activity.