Colonoscopy - Screening or Diagnostic

Event Information
Product Format
Prerecorded Event
Presenter(s)
Jill M. Young, CPC, CEDC, CIMC
Length
60 Minutes
Product Description

Learn the right way to bill screening-turned-diagnostic colonoscopies -- or risk your reimbursement.

A majority of insurances follow Medicare rules for processing of claims in a variety of areas. If a carrier publishes that they follow Medicare rules for processing of endoscopy procedures, then we need to understand, and look at those rules. These areas include:

  • Processing of multiple endoscopy procedures for payment.
  • Use of modifiers – both in multiple procedures and in discontinued procedures.
  • Screening vs. diagnostic and what to do when the first turns into the second.
  • Global day assignation – most endoscopy procedures are listed as having 000 days on the MPFSDB.

Know, what Medicare rules are, and how can you obtain this information from payers and what you should do with that information — are all that you will get answers at the conclusion of this seminar!  

Join expert, Jill M. Young, CPC, CEDC, CIMC in this 60-minute audio session and learn where to find policies and guidelines for Medicare and other carriers. Learn documentation of procedures - how a simple word or two can cost your practice money. Also, get to know what important information is held in the Medicare Physician Fee Schedule Data Base regarding colonoscopies. Get resources for examples of documentation for various colonoscopy techniques.

BONUS:  Know, when and how should you use modifier 22 for extra dollars? Jill will provide you tips for getting paid more for those “difficult” procedures!

Session Focus:

  • Multiple endoscopy billing - how to appropriately document it and how to properly bill for it.
  • Screening benefits - what does Medicare say for risk, frequency and billing.
  • Conflicting Patient history - what to do if history reveals the patient has symptoms but was sent for a screening test.
  • Medicare Physician Fee Schedule Data Base - what valuable information does it hold specific to colonoscopies.
  • Modifier 33 or PT which is appropriate to use with colonoscopies and when.
  • What other modifiers would a GI office use in conjunction with colonoscopies.

Who should attend? Office and Practice Managers, Coders and Billers of Gastroenterology.  Physicians wanting to learn compliant billing rules.

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About Our Speaker

Jill M. Young - Pulmonology Guidelines Expert


Jill Young, CPC, CEDC, CIMC, is the Principal of Young Medical Consulting, LLC, A company founded 11 years ago to meet the education and compliance needs of physicians and their staff. Jill has over 30 years of medical experience working in all areas of the medical practice including clinical, billing and rounding with physicians. Her comments and opinions can be seen in several publications and also...   More Info
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