Collection and Appeals for the Gastroenterology Coding Specialty

HEALTHCARE Oct 19, 2017 60 minutes
01:00 PM EST 12:00 PM CST 11:00 AM MST 10:00 AM PST

Description:-

any changes have gone into effect in the healthcare industry and organizations should be monitoring their existing records to make sure they are capturing services and maximizing their reimbursements. When denials happen, and they do happen, it is on the central billing office collectors to find proven ways to fight these denials when warranted and win in the appeals process. This presentation will address collections and appeals for the GI specialty, along with including real working examples for attendees to use in the future as tools of the trade.

Areas Covered in the session:

  • Appealing the 2017 Moderate Sedation Codes for gastroenterology services when the payer says it's included in the main procedure.
  • Appealing multiple endoscopies at the same encounter when a line item gets denied.
  • Patient intake directions with discussions on patient share of cost collections.
  • Modifiers and collections. Making sure they are used correctly to optimize reimbursement.
  • Knowing what payers want and why
  • Patient deductible and co-pay collecting
  • Multiple procedure denials and how to tackle them  

 What tools and benefits will your session provide to the attendees?

Real Case Study examples, How to Tips for physicians, and easy to understand CPT references to aid in the collection and reimbursement process. Also, a starter kit of collection letters will be given to every attendee.

Who should Benefit?

  • Coders, Billers
  • Administrators
  • Collectors
  • physicians
  • back office 
  • mid-levels
  • Cath lab employees 
  • Hospital Outpatient coders
Presenter BIO

Ms. Terry Fletcher is a Specialty Coding Industry Coding and Billing Expert, Auditor and Educator based in Laguna Beach, California, with over 30 years experience. Terry is a past member of the National Advisory Board for AAPC, past Chair of the AAPCCA, and AAPC National and Regional Conference Educator. Ms. Fletcher is the Technical Editor for the Select Coder® from DecisionHealth, Editorial Advisor for Cardiology Coding Alert! & Practice Management Coding Alert! from The Coding Institute. Ms. Fletcher is an Educator for McVey Seminars, MGMA, Audio Educator, AAPC, AHIMA, Medlearn, OnlineAudioTraining.com, DecisionHealth, TCI, and PioneerEducator, teaching over 100 specialty coding Seminars, Teleconferences, and Webinars every year. Terry is the author of several coding and reimbursement publications, as well as a practice auditor for multiple specialty practices around the country. Ms. Fletcher moderates her own Coding Corner Network for online CPT/ICD-10-CM Coding Questions from physician coders around the country. Terry holds a bachelor’s degree (BS) in Economics, multiple certifications in coding, and her proficiency certification in ICD-10-CM: CPC, CCC, CEMC, SCP-CA, ACS-CA, CCS-P, CCS, CMSCS, CMCS, CMC. Her coding and reimbursement specialties include Cardiology, Peripheral-Cardiology, Gastroenterology, E/M Auditing, Orthopedics, General Surgery, Neurology, and Interventional Radiology.

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