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Course Content
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Cross Country Education is now Vyne Education, LLC.
Vyne Education is a nonprofit organization owned by: PESI, Inc., a 501(c)(3) 3839 White Ave, Eau Claire, WI 54703-0542
Seminar Schedule
Registration: 7:30 a.m. (coffee & tea provided)
Seminar Begins: 8:00 a.m.
Lunch Break: 1 hour (on your own)
Seminar Ends: 3:30 p.m.
Breaks: 15 minutes (mid-morning & mid-afternoon)
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RE
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INSURANCE CODING
& BILLING FOR THE
MEDICAL OFFICE
Includes 2017 ICD-10-CM updates
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u Examine the CPT codes changes for 2017
u Get a closer look at important issues from the OIG work plan
u Discuss ICD-10-CM diagnosis coding and why unspecified codes
lead to denials
u Examine how modifiers can be used effectively for reimbursement
u Determine how to effectively navigate the ins and outs of Medicare,
Medicaid, and private party insurance
u Discover how to code your claim correctly the first time you submit
for maximum reimbursement and fewer hassles!
THE CODING PROCESS
u 2017 CPT codes, a closer look
u OIG work plan issues for physician billing
u A brief overview of ICD-10-CM
u Modifiers and which ones can enhance
reimbursement
u Unraveling the complexities of Medicare,
Medicaid and Third Party Insurance
THE CLAIMS SUBMISSION PROCESS
u Know when documentation must be
submitted with the claim
u The elements of an incident-to claim
u Recognize CCI edits (bundling) and
understand how and when to unbundle
WHAT IS NEW FOR 2017
u A look at some of the new codes for 2017
u The OIG Work Plan
u Examine why Medicare is scrutinizing
prolonged time codes
DOCUMENTATION, DOCUMENTATION
u What to do if you have been downcoded
u How to analyze and solve difficult billing
problems
u What to look for with a denial for medical
necessity
u Understand what to use from the
documentation for an appeal or correction
u Know when the documentation will support
an appeal
BILLING OFFICE TIPS
u How to avoid the most common errors
u Know when to appeal and when to “write it
off”
u Understanding the importance of physician
profiling
u News from the CMS front that may impact
your billing
Who Should Attend
u Coding and Billing Personnel
u Medical Records Personal
u Office Managers
u Physicians
u Medical Assistants
u Nurse Practitioners
u Cross-Training Receptionists, Cashiers
u Anyone responsible for medical
services reimbursement
Objectives
u Maximize your reimbursement by emphasizing proper coding
u Examine how documentation can make or break an appeal
u Outline the 2017 changes to CPT codes and how they affect your practice
u Identify when to use attachments
u Outline...
