A "LIVE WEBINAR" on Two days six-hour sessions of in-depth coding & billing for Gastroenterology Physicians & Practice Coders
Thursday, February 11, 2021, 10:00 AM EST - 05:00 PM EST
Friday, February 12, 2021,10:00 AM EST - 05:00 PM EST
Session Highlights:-
Curriculum
- 2021 Gastroenterology Specific Coding Update.
- Evaluation and Management - Is your practice prepared for the Radical Changes to take place in 2021? We will update you.
- Dealing with Anesthesia - Are comorbidities & risk factors listed to support the need for MAC?
- Upper GI Endoscopy is the focus of medical necessity requirements by most commercial payers in 2019. Are your providers aware of these changes?
- Diagnostic Tests - make sure documentation components are met.
- Documentation requirements for billing Conscious Sedation Services by your GI providers.
- Coding from Endoscopy Reports.
- MIPS/MACRA: Economic survival depends upon documentation and diagnosis accuracy.
- The impact on HCC, ICD-10-CM & specificity.
- Tips from your local Medicare contractors on E&M services.
- Discuss electronic record issues with the copy/paste function and improper template use.
Gastroenterology Workshop Highlights
- Keeping up with trends and payer policies.
- Screening endoscopy overview - Commercial versus Medicare.
- Snare & saline lift versus EMR versus EMD - what is the difference?
- Utilizing the Medicare Multiple endoscopy policy vs. commercial policies.
- Don't just write it off! Adjudicating Denied Claims - know your denial reasons & your best approach to adjudicate.
- Appropriate use of Correct Coding Initiative edits and CCI policies to assure clean claim submission.
- Navigating an ERCP report: appropriate reporting of Stents, Stones & Sphincterotomies.
Additional topics to be discussed
- Audit and review forms for Endoscopy, Evaluation & Management, Pathology, Anesthesia, Diagnostic studies.
- Advanced Endoscopy procedures - tips for billing these unlisted procedures.
- ERCP billing.
- Introduction to Pelvic Floor Rehabilitation services & other ancillary services.
What's New! The Hot Topics in work you are already doing!!!
- Anesthesia Reimbursement Depends Upon Medical Necessity And Ranking Of Diagnosis Codes. Learn What Is Necessary To Document By Your Anesthesia Providers.
- Applying Icd-10 Codes To Procedures & Visits: The Key To Supporting Medical Necessity.
- Pathology Documentation Requirements - The Latest Medicare Local Coverage Determinations Concerning Special Stains.
Areas Covered:-
- Updates on the current issues that RACs, OIG, CERT, and Individual Payer Auditors are looking at in Gastroenterology Practices.
- Should we use the indications or findings as to the primary diagnosis for a procedure?
- Under what circumstances will Medicare pay us for a visit on the same day as a procedure?
- Have the "X" modifiers replaced modifier 59?
- If a patient is eligible for colon screening & has symptoms, is it screening or diagnostic?
- Do Anesthesia claims also require modifier 33 or PT to trigger preventive benefits?
- The American Cancer Society revised Colon Screening Criteria. How does this impact our practices?
Who Will Benefit?
- Physician
- Gastroenterologists
- Coding/billing
Kathleen A. Mueller, and Kristin Vaughn
Kathleen A. Mueller, RN, CPC, CCS-P, QMGC, QMC, PCS, CCC, is a national independent consultant with over 35 years of experience in healthcare. This includes ICU/CCU nursing, physician office administration, GI claims submission and adjudication, plus seminar instruction and on-site consulting work in hundreds of offices. Ms. Mueller is the owner of AskMueller Consulting, LLC, a nationally recognized speaker and author of many multi-specialty medical and surgical coding workbooks with a special emphasis on Gastroenterology. Her presentations have included organizations such as the AGA, North American Society for Pediatric Gastroenterology and Nutrition (NASPGHAN), ASGE, ACG, and Digestive Disease Week (DDW). She also writes a coding column for NASPGHAN, AGA, and ASGE.
Kristin Vaughn, CPC, QMGC, QMC, CPMA, ICDCT-CM, is a national consultant with over 12 years of coding and billing experience. This includes Gastroenterology, Pulmonary, Critical Care, Immunology/ Rheumatology, Hematology, and Hospitalist specialties plus seminar instruction and on-site consulting. Her background includes extensive experience in a teaching university. She currently is a full-time consultant/trainer with AskMueller Consulting, LLC. Her presentations have included organizations such as AGA and ASGE. She is a Certified Profession Medical Auditor and Certified ICD-10 trainer. She is the co-author of several workbooks and programs specific to Gastroenterology.