5 Hour Session of Coding for Physicians and Staff

Review any changes & bring the Urology CPT changes for 2021.

Session Highlights:-

Learn coding techniques that work

• Learn how surgical practices lose income from improper coding evaluation and management services.
• Learn when and how to bill co-surgeons and surgical assists.
• Signs, symptoms, and ill-defined conditions are the key to payment for same-day visits and procedures.
• ICD-10! Come learn about this new coding system.
• Modifiers are the key to surgical procedure reimbursement:
  • The -57 vs -25
  • Visits during the global post-op period
  • Billing for additional procedures during the global period.
  • What about -51? Dealing with the -59 modifier; the -53 vs. -52.

Correct reimbursements from Medicare, Managed Care, and Private Payers

• Document and code for what you do. Charge and file claims according to your contracts. This principle for doing business with insurance is critical to survival.
• What's new with RAC audits, and what to do if you get the notice.
• What is the secret to knowledgeable & correct "unbundling?" Medicare's "Correct Coding Initiative is the key." We'll discuss the latest.
• What triggers an audit on your claims? Can you afford it?

Advanced coding for Urology Eases Paperwork

• We'll give you the latest rule on getting paid for the insertion and removal of an indwelling stent.
• Having problems with ancillary treatment and testing in your office? Let's work through these together.
• Consults: When do you bill a new patient as a consult, and what are the criteria? CMS has specific guidelines. We'll teach you how to determine which to bill.
• Learn to code for multiple related cystos.

Learning Objectives:-

• Learn How Surgical Practices Lose Income From Improperly Coding Evaluation And Management, And What Are The New Guidelines For 2021.
• Correlate Diagnoses To CPT Codes
• Bill "E & M" Services During The Post Operative Period
• ICD-10! Come Learn What Is New For 2021.
• Code Ultrasound Guidance, Transrectal Ultrasound & Prostate Biopsy
• Code Multiple Cystourethroscopy Procedures
• How To Correctly Bill For Multi-Cystos Performed During The Same Session
• How To Use Prolonged Service Codes. They Can Be Correctly Reimbursable!
• How To Assure Income By Using The Correct E & M Codes. Most Physician's Under Code 60% Of The Time.

Areas Covered:-

• When does a malignancy diagnosis change to a "personal history" of a malignancy?
• What about the patient who returns for a follow-up visit and ends up being treated for another condition? Is the secondary condition then considered "primary?"
• Are the "observation codes" appropriate for stone patients?
• How can we get paid for both an office visit and the required procedure on the same day?
• Some insurers pay for transrectal echography with needle guidance for biopsy and others do not. Are there any clear guidelines?
• Why should we code secondary & tertiary diagnoses codes when insurers use to only look at the primary ICD-10 code for procedure reimbursement?
• What is the "site of service reductions?"
• If I'm called in to do a bladder suspension during OB/GYN hysterectomy, what modifier do I use?
• Why should I wait for the pathology reports before billing?

Who Will Benefit?

• OB/GYN
• Urology
• Billing/coding for urology
• Physician