Bridge the Gaps in Coding & Collections for Endocrinology
CMS and third party insurance payers are spending millions of dollars investigating physician billing practices and the federal government is recovering billions of dollars in healthcare fraud related settlements and judgments through the False Claims Act. A large percentage of these recovery efforts are due to miscoding of claims, misunderstanding of policies, rules and regulations. This coding course focuses on current coding and billing guidelines for services and procedures commonly performed by endocrinologists. This course will provide education and hands on activities to learn how to get reimbursed for the services and procedures clinicians provide patients.
Physicians, Billers, Coders, Office Staff, Practice/ Office Administrators, Non-Physician Practitioners.
- Analyze common endocrine signs, symptoms and diagnosis that require specific documentation to report and discuss how to capture ICD10 codes to the highest level of specificity. Review the coding conventions and guidelines of ICD10.
- Define modifiers commonly used in endocrinology and the required documentation to support their use when submitting claims. Define the top modifiers reported and why this could lead to an audit.
- Educate on correct coding and documentation of ultrasound guided fine needle aspirations and multiple nodules aspirated. Review various coding scenarios and discuss opportunities in documentation improvement.
- Define and discuss causes of denials and inappropriate reimbursements with carriers
- Review common gaps in the coding, billing and collection process and discuss ways to be more efficient, productive and compliant.
9:00 – 11:00 a.m. Document First and Select Codes Second
11:15 – Noon Mastering the Modifier Maze to Obtain Appropriate Reimbursement
1:00 - 1:45p.m. Fine Needle Aspirations
1:45 - 2:30 p.m. WHY is this service “Not Medically Necessary”?
2:30 – 3:00 p.m. Missed Opportunities in the Office
Vanessa M Lankford, CPC-Practice Management Coordinator, AACE, FL
The American Association of Clinical Endocrinologists (AACE) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American Association of Clinical Endocrinologists (AACE) designates this live activity for a maximum of 4.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 4.75 AMA
- 4.75 Attendance