Basics of Billing Bootcamp
Introduction to Medical Coding Basics: Introduction to CPT®, ICD-9-CM and HCPCS coding, with a focus on proper code selection.
Foundations of Medical Terminology: Basic medical terminology used in customer service, claims processing,coordination of benefits departments, an other areas of the medical office.
Diagnosis Coding & ICD-9-CM Codes: Diagnosis coding using ICD-9-CM.
Procedure Coding -The Use of CPT® Codes: Organization and format of the CPT® manual, CPT® coding conventions, an introduction to modifiers, E&M coding and the concept of global or "packaged" services.
Evaluation & Management Coding - The use of CPT Codes E&M Codes: Code selection based on documented work to ensure that their medical record documentation substantiates the level of E/M service code selected. Topics covered include documentation guidelines, E/M components, case scenarios.
Understanding & Using Modifiers: Correct modifier selection, and the type of documentation detail that is necessary to support reporting specific modifiers.
Managing & Preventing Claim Denials: Understand the reasons why a claims was denied, how to correct the claim, how to resubmit it, and guidance to prevent a claim from being denied in the first place. Other topics include coding properly and avoiding the most common errors, coding for surgical procedures (the global surgery package), and medical necessity & chart review.
A Practical Guide to Auditing Physicians Services: Improve monitoring of physician documentation and billing, prospectively and retrospectively.
Understanding Insurance Guidelines and Maximizing Payout: Know the rules of the game so you can get paid.
Implementing the Medicare Quality Reporting: Learn how to earn a 1.5 percent Medicare bonus by successfully reporting on the quality measures that apply to your practice.