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Coding & Compliance for Billing Departments

On-Demand Series

 

5 part series of On-Demand audio webinars including:

 

Credit Balances

  • Define credit balances
  • Identification of credit balance
  • Returning overpayments, resolving posting errors
  • Tracking and reporting on the process

 

Performing Provider

  • Provider on claim form
  • Locum tenens physicians
  • NPP - incident to, split/shared visit, neither
     

Modifier 24, 25, and 59

  • E/M during global unrelated to surgery
  • Separate & distinct E/M on the same day as a procedure including the use of new moidfiers XE, XS, XP & XU & appropriate use of modifier 59

 

Claims submission process

  • Timely documentation
  • Appropriate documentation
  • Accurate CPT & ICD-9 code assignment
  • Process for pre & post claims submission review
  • Obtain clarification from provider when documentation is confusing or lacking adequate justification

 

Medical Necessity, ABNs

  • Definition of medical necessity
  • Medical necessity for Medicare patients
  • ABNs for Medicare patients
  • Using ABN modifiers
$150.00
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