This 3 hour presentation is intended for coders.
Description:
How can a practice increase its revenue? The easiest way is by collecting for services already performed, and the first step in that process is accurate CPT coding. This fast-moving session will review CPT principles, the framework of the CPT book and code selection using the index and tabular listing. How does a group know if two services can be billed together? The participant will learn how to check for bundled codes using the NCCI edits. Using modifiers correctly is critical for both revenue and compliance; this presentation will describe the rules for the most common modifiers used by physician practices. Attendees will learn the components of the global surgical package and what services may be billed outside of the global payment and what services are included and may not be separately reported. Medical necessity is too often like beauty: in the eye of the beholder. How does a practice know what Medicare and other payers consider to be medically necessary before the service is denied? The participant will learn about local and national coverage policies and the compliant use of Advance Beneficiary Notices.
Learning Objectives:
- Review CPT principles and foundational components
- Understand and correctly apply bundled codes and modifiers
- Accurately bill for surgical procedures
- Determine Medical Necessity
CEUs:
3 AAPC credits for 2012