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Fast Track to Payment:
Coding, Billing and Reimbursement for Surgical Services

The path from a patient’s initial encounter or emergency surgery to final payment is a complex and interrelated process. This process requires accurate assignment of CPT codes, modifiers, and diagnoses codes; the submission of a “clean” claim; and an understanding of government and payer rules. All of these components contribute to receiving the correct payment. Overlooking even one step – or making the wrong coding choice – can result in a denial and impede cash flow.

In this session, you’ll learn the processes necessary to effectively code, bill, and collect for patient encounters and surgeries. We will also cover practice management essentials such as tracking financial metrics, evaluating RVU reports, implementing time of service collections and surgery deposits, effectively contracting with plans, and understanding the basics of MACRA and MIPS quality initiative. Attendees will leave with the knowledge that puts payments on the fast track. The workbook appendix includes coding rules for teaching physicians.

What’s New in 2017?

  • Medicare requirements for reporting post op visits.
  • Differences between coding and reimbursement.
  • Critical care for trauma.
  • Coding for benign and malignant lesions, wound repair, soft tissue tumors.
  • Wound care coding.
  • MACRA rules—MIPS and APM.

Who Should Attend This Course?

  • General surgeons
  • Practice administrators and managers
  • Coders and billers
  • Hospital or MSO administrators running surgical practices

Learning Objectives

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

  • Identify the services that are part of the global package and services that may be billed in addition to procedure codes.
  • Assess the accuracy of E/M code selection.
  • Explain when critical care services may be billed in the global period, and integrate the rules for billing critical care in trauma.
  • Demonstrate an understanding of diagnosis coding for medical necessity and risk based coding.
  • Define the role and reimbursement of a non-physician practitioner in a surgical practice and analyze the ROI.
  • Apply management principles such as reviewing metrics, RVU reports, and monitoring contract payment terms.

What’s on the Agenda?

  • Global Surgical Package
  • E/M Level of Service
  • Critical Care
  • Colonoscopy
  • Integumentary
  • ICD-10 Diagnosis Coding
  • Non-Physician Practitioners in a Surgical Practice
  • MACRA Rules: MIPS and APM
  • Practice Management Essentials

Download our registration brochure. Expanded agenda and detailed course information coming soon.

2017 Mastering General Surgery CPT Coding

Packed with procedure coding instruction, a majority of this workshop is focused on coding for procedures that general surgeons perform the most. This year we’ve added abdominal reconstruction, bariatric surgery, intra-abdominal tumor, and intraoperative chemotherapy coding to the workshop. Our easy-to-follow teaching methods integrate case examples and operative notes so that you leave feeling confident about your coding ability.

We will also address the changes to endoscopy coding in 2017, explaining how to report the new moderate sedation codes and what to expect in terms of reimbursement change. We’ll cover the essential aspects of the global surgery package, including how to select the right modifier for surgeries performed within the global period. You’ll also learn how to navigate the complexities of correctly reporting surgeon role modifiers and same day procedure modifiers to ensure payment for your services.

What’s New in 2017?

  • Endoscopy 2017 coding changes: Lower reimbursement and separate billing of moderate sedation.
  • Abdominal reconstruction coding.
  • Bariatric surgery.
  • Intra-abdominal tumor and intraoperative chemotherapy coding.
  • More trauma coding.

Who Should Attend This Course?

  • General surgeons
  • Practice administrators and managers
  • Coders and billers
  • Hospital or MSO administrators who manage surgical practices

Learning Objectives

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

  • Correctly code common general surgery procedures including breast, endoscopy, colorectal, bariatric, trauma, gall bladder, liver, hernia, and more.
  • Accurately apply modifiers when they are required and understand their impact on reimbursement.
  • Understand how to report and get paid for unlisted procedures.
  • Integrate 2017 CPT and HCPCS coding changes and guidelines into practice.

What’s on the Agenda?

  • The Global Surgical Package
  • Surgeon Role Modifiers
  • Same-Day Procedure Modifiers
  • Modifiers for Additional Procedures Performed During the Global Surgical Period
  • Documentation for Unlisted Procedures
  • Breast Procedures
  • Hernia Surgery
  • Endoscopy
  • Colorectal Surgery
  • Bariatric Surgery
  • Intra-abdominal Tumor/Cyst Resection
  • Appendix Surgery
  • Gallbladder and Liver Surgery
  • Trauma Coding
  • Endocrine Surgery

Download our registration brochure. Expanded agenda and detailed course information coming soon.

General Surgery Course Dates at a Glance

City/LocationDateHotel Cut Off Dates
*Chicago, IL
*Course Location:
Woman’s Athletic Club of Chicago
626 N. Michigan Ave.
Chicago, IL 60611
November 2-310/11/17
The James Chicago

 2017 ACS Course Accreditation

Course Credit for: Fast Track to Payment: Coding, Billing and Reimbursement for Surgical
Course Credit for: 2017 Mastering General Surgery CPT Coding

General Surgery Course Testimonials

Christine S. Clark, MD

Fast paced – kept my attention. High value – each point or tip was relevant.  I really appreciate the ‘in the moment’ opportunities for Q + A.

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Jacob H. Rinker, MD

This course will significantly increase my income.

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Kristen A. Flowers, MD

Great – I’ll be back! Useful for a new graduate. Applicable for those who are new or experienced, up-to-date and relevant!

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Joseph Bennett, MD

Amazing, should have done sooner. Makes complex topics usable for the surgeon. Enhances my understanding of billing and coding so I can have more intellectual conversations with my biller.

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Gail Strindberg, MD

This is a wonderful course. The information is really dedicated to current general surgery practices. It’s also a great opportunity to speak with colleagues and see how they are dealing with the same situations.

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