The operative report is the legal account of the procedure(s) performed in a medical surgery for documentation and compliance. The operative report also is used by billing and coding staff to assign the appropriate diagnoses codes, CPT® codes, and modifiers. While the information contained in an operative report may not be relative to all that utilize it, having a clear understanding of its contents, and identifying the pieces, will allow billing and coding staff to efficiently use the operative report for the purposes of billing, coding, and compliance.
Learning Objectives:-
- Components of the operative report
- Using the procedures performed as a guide
- What documentation is needed for assistants at surgery
- Identifying the important pieces in the procedure description
- What to do when there is conflicting information documented
- Using the operative report as part of your appeal
Why Should you Attend?
Anyone billing and coding surgical cases must understand the documentation for the procedures performed. This session will take a look at the pieces of the operative report for a full understanding of the information that it supplies.
- Physician education
- Staff education
- Compliance
- Charge Capture
- Claims processing
- Appeals
Who Should Attend?
- Physician
- Physician Assistant
- Nurse Practitioners
- Billers
- Coders
- Administrators
- Medical Assistants
- Auditors
- Reimbursement Specialist
- Collectors
- Surgery Scheduler
- Claims Processer
- Claims Adjuster
Lynn Anderanin
Lynn Anderanin, CPC, CPPM, CPC-I, COSC is the Sr. Director Coding Compliance and Education for Healthcare Information Services, a physician billing and consulting service in the Chicago area.
- Lynn has over 30 years experience in all areas of the physician practice including Practice Administrator, Billing Manager, and Director of Operations.
- Lynn's experience is primarily in the specialties of Orthopedics, Rheumatology, and Hematology/Oncology.
- She has been a speaker for many conferences, including the AAPC National Conferences and Workshops, Community Colleges, audio conferences, and Local Chapters.
- Lynn became a CPC in 1993, a Certified Instructor in 2002, and a Certified Orthopedic Surgery Coder in 2009.
- She is the founder of the first local Chapter of the AAPC in Chicago, which is now 16 years old, and a former member of the AAPC National Advisory Board as well as other Committees for the AAPC.
