Coding and Documentation for Gynecologic Services

Event Information
Product Format
Prerecorded Event
Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, CDIP, COBGC, AHIMA approved ICD-10-CM/PCS trainer
Conference Date
Wed, Mar 21, 2018
60 minutes
Product Description

Key Strategies and Coding Concepts Necessary for Correct Billing of Gynecologic Services

Over the years, insurance carriers have changed their "scope" in the review of clinical documentation for medical necessity and pre-authorization, and may or may not follow ICD-10-CM, CPT, or even correct coding guidelines put forth by CMS.

In this session, coding specialist Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, CDIP, COBGC, AHIMA approved ICD-10cm/pcs trainer will provide you in-depth strategies and the most up-to-date concepts and information on the usage of ICD-10-CM, CPT and HCPCS codes and clinical documentation, targeted specifically for gynecologic services. Lori-Lynne will look at correct office and surgical coding within the gyn clinical practice.

The session will serve to educate your physicians and staff regarding the correct documentation for clear, concise and correct usage of the CPT procedures, CPT E&M, ICD-10 diagnosing, and clinical documentation – often confusing for coders, billers and even clinical staff in the office, and surgical gynecologic practice. This session will provide key strategies and coding concepts necessary for correct billing. Your clinical and office staff will be able to implement some of these terrific tips and hints to improve your practice’s financial bottom line.

With this session, you will gain an understanding of the relationship of ICD-10-CM within the gynecologic practice of an ob/gyn office. A good understanding of ICD-10-CM coding is vital to a practice, which makes this session a "not to be missed" learning event for all. If you are a physician, mid-level provider or a beginning coder, this is your opportunity to get experienced, tried and true information. This session is a great refresher for the experienced coder to hear and learn new ideas, in addition to gaining an understanding of the importance of clinical documentation for a gynecologic practice.

Session Highlights

  • Time based E&M coding vs. 95 and 97 guidelines
  • Clinical documentation needed for pre-authorization for surgical procedures
  • Documentation for “simple, intermediate, and complex” repairs
  • Verbiage and clinical documentation for “simple, intermediate, complex, partial, radical” or other types of specificity
  • Clinical documentation for post-procedure adhesion formation, vaginal vault prolapse
  • Differences between skin lesion integumentary codes vs. gynecologic codes for destruction, excision, repair

Session Agenda

  • Time-based E&M prolonged services unlisted services
    • The usage of time in E&M
    • Unlisted E&M services
  • E&M prolonged services
    • Prolonged services documentation
  • E&M documentation
    • ACOG templates
    • 95 template guidelines
    • 97 template guidelines
  • Wellness/preventive patient visits & documentation
    • Wellness screening
  • Medicare coverage
  • Medicare/HCPCS code
  • Diagnosis requirements
  • Pap/pelvic exam
  • Modifiers
  • Clinical documentation
    • Adhesiolysis
    • Pessary
    • Endoscopic cervical procedures
    • Loop electrosurgical excision procedure (LEEP)
    • Cervical intraepithelial neoplasm (CIN III)
    • Endometrial biopsy
  • ICD-10 diagnosis: Menorrhagia
  • Office-based vulvectomy
  • Office-based I&D
  • Office-based lesion destruction
  • Office-based long acting reversible contraception (LARC)
    • Contraceptives – IUD
    • ICD-10 diagnosis codes
    • HCPCS supply codes: IUD
    • Implantable contraceptives
  • Pre-authorization/billing/revenue stream
    • Benefits of pre-authorization
    • How to start pre-authorization
  • Billing & revenue stream implications

Who Should Attend

This webinar is great for:

  • Physicians who code for themselves
  • Midwives & mid-level providers (NPs, PAs)
  • Clinical nurse specialists
  • Support clinical staff (such as your RNs and MAs)
  • Coders
  • Billers, and denial insurance managers
  • Office managers


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About Our Speaker

Lori Lynne - ICD 10 Training Expert

Lori-Lynne A. Webb - CPC, CCS-P, CCP, CHDA, CDIP, COBGC, AHIMA approved ICD-10-CM/PCS trainer, is an independent coding, compliance, and auditing specialist. She has 20+ years of multi-specialty coding experience and teaches coding, compliance, auditing and billing skills for clinical and clerical staff, utilizing AMA and AHIMA curriculum. She specializes in women’s ob-gyn services, maternal fetal ultrasound services, urology and general surgical procedures, to include physician based and...   More Info
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