Discerning the Difference - Screening vs Diagnostic Colonoscopies

Event Information
Product Format
Prerecorded Event
Jill M. Young, CPC, CEDC, CIMC
60 Minutes
Product Description

Here’s How You Can Get The Reimbursement You Rightfully Deserve For Colonoscopies!

A majority of insurance agencies adhere to Medicare rules when it comes to processing of claims in a variety of areas. Medicare has innumerable guidelines published in their manual and several areas of claim processing, for instance: processing of multiple endoscopy procedures for payment, screening vs diagnostic and what to do when the first turns into the second; all becomes defined when an agency publishes that they refer to Medicare rules for processing of endoscopy procedures.

This webinar will help you identify what Medicare rules are, how to acquire the relevant information from payers and ways to effectively utilize the information.

In this 60-minute session,  presenter Jill Young, CPC, CEDC, CIMC, will help you identify the correct source for Medicare policies and guidelines along with other carriers, highlight the correct way of documenting procedures and  help you gain in-depth knowledge of all the important information available in the Medicare Physician Fee Schedule Data Base regarding colonoscopies.

Jill will also explain “when and how” modifier 22 can be used to help you earn extra dollars and provide easy tips for earning more for certain “difficult” procedures!

This session will help you:

  • Understand correct documentation and billing process for Multiple endoscopy
  • Follow clear guidance for Screening benefits - what does Medicare say for risk, frequency and billing
  • Get familiar with Medicare Physician Fee Schedule Data Base and the valuable information it contains related to colonoscopies
  • Outline the vital elements of conflicting patient history
  • Identify the correct modifier a GI office would use in conjunction with colonoscopies
  • Basics of Diagnostic vs Screening
  • HCPCS codes – G0105 and G0121 when to use
  • Learn details on high risk coverage and not high risk coverage
  • Get covered to colonoscopy and its coding for different procedures
  • Policy peculiarities: United Healthcare, Cigna and Humana
  • Definition of a Global Surgical Package
  • Tips on Procedure reporting and 3 costly mistakes
  • Understanding where the "key" to the columns is when working with the MPFSDB and what those numbers mean for each
  • Identify what Medicare rules are, how to acquire the relevant information from payers and ways to effectively utilize the information
  • Know when and how to use Medicare 22

Who should attend? Office and Practice Managers, Coders and Billers of Gastroenterology and 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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Dear Valued Customers


We regret to announce that ProEdTech LLC and all its affiliate brands will cease operations on April 1, 2019.


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