Office Procedures - Dealing with the Grey Areas of Coding and Billing

Event Information
Product Format
Prerecorded Event
Jill M. Young, CPC, CEDC, CIMC
Conference Date
Thu, Aug 25, 2011
60 Minutes
Product Description

Make your billing compliant, your coding correct and get completely reimbursed. 

Office procedure billing is not only about CPT code selection but also ICD-9-CM diagnostic code selection and modifiers.  Getting these three codes in the proper combination ensures reimbursement.  

There are many procedure coding situations that are confusing and many that don’t have well documented rules for proper billing.  How to find policies from carriers, how to read them and interpret them to take the guess work out of billing procedures in the office will save time and may increase reimbursement.

Join coding expert, Jill Young for this 60-minute look at the proper billing and coding for office procedures: 

  • When is it appropriate to use modifiers to bill a coding scenario?
  • When is the decision to do a procedure billable?
  • When are follow-up visits billable?

Get answers to these questions and more:

  • Multiple lesion removal, what documentation do you need to support proper coding code
  • Medical necessity, a term that is not well defined and leads to coding situations being grey and difficult to define policies/rules
  • Documentation of office procedures, your provider can be brief but not so brief as to cause doubt in the code selection
  • Modifier 25 & 59 – appropriate  documentation takes the grey out of the auditors review
  • Decision making – under documented and frequently confusing to understand
  • Insurance carrier policy searching – tips on successful locating policies you need

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

Who should attend? Coders, billers, office managers and physicians.


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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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