Top Denial Reasons in Eye Care Coding

Event Information
Product Format
Prerecorded Event
Jennifer Godreau, CPC, CPMA, COPC, CPEDC, AHIMA-Approved ICD-10-CM/PCS Trainer
60 minutes
Product Description

Save Your Practice Time and Money by Learning How to Code Eye Care Right the First Time

Eye care coding can be incredibly challenging due to medical necessity requirements, modifier must-haves and eligibility issues. Every claim that needs to be reworked and/or refiled costs your practice an average of $25. You can improve cash flow by having a clean claims rate of 95% or higher, which indicates that the majority of your claims are processed by the clearinghouse on the initial submission. Better initial claims processing saves time and resources for your practice by avoiding having to rework claims and also saves you money by avoiding clearinghouse charges for refiling claims. Learn how to sort through these issues to get claims paid the first time around.

If you’re struggling with a high denials rate – or delayed cash flow or high write-offs – it’s time to remedy your claims billing with improvements that will drive down your denials rate and accelerate your claims payment. In this webinar by expert speaker Jennifer Godreau, CPC, CPMA, COPC, CPEDC, AHIMA-Approved ICD-10-CM/PCS Trainer, you will learn the top reasons that ophthalmology and optometry claims are denied. You’ll get the ammunition to fight denials when you should, and turn around your billing department and processes to get more claims processed the first time around.

Jen will show you how to process cleaner claims by using strategies to work denials so that you can reduce insurer payments in A/R. You’ll understand the source of denials and how to research the facts you need to file claims accurately. Also, you’ll get the scoop on insurers’ differences that can make sorting out denials seem like shooting at a moving target.

Session Highlights

  • What to do to fix Avastin ICD-10 code-related denials
  • The best way to prevent drug code-unit mismatch
  • Check injection codes for these letters or face denial
  • Best strategies on claims refiling
  • 5% more denials means huge revenue loss – Learn the numbers
  • Eligibility tips to cut down on the top denial reason
  • Medical necessity – Where to look for the info you need
  • CCI edits – How to know what combos you can report
  • A top red-flag action to avoid

Session Agenda

  • Recognizing top Medicare denials
  • Create authorization tracker
  • Assign LCD monitoring
  • Collect lists of LCD and other insurer requirements
  • Train clinical staff on ABN
  • Implement security triangles
  • Watch global day allowances
  • Bill units based on J Code MG, Amt Drug
  • Add modifier on injectables code
  • Review usage of modifiers
  • Check CCI edits – New 2017 bundles
  • Schedule audits to verify ICD-10 support
  • Check diagnostic test requirements met
  • Train scheduling staff on payments
  • Self-pay trends
  • Verify every patient visit
  • Charge posting
  • How much are you collecting?
  • 2017 prep list

Who Should Attend

  • Practice administrator
  • MD of Ophthalmology
  • Compliance officer
  • Optometrist, OD
  • Certified Ophthalmology Executive (COE)
  • Certified Professional Ophthalmology Coder
  • Certified Ophthalmic Assistant (COA®)
  • Certified Ophthalmic Assistants (CCOA®)
  • Ophthalmic Scribe (OSC®)
  • Certified Billing Specialist (CBS)
  • Certified Professional Coder (CPC)
  • Billers and coders

Order Below or Call 1-866-458-2965 Today

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About Our Speaker

Jennifer Godreau - Medical Modifiers Coding Expert


Jen Godreau, CPC, CPMA, COPC, CPEDC, AHIMA-Approved ICD-10-CM/PCS Trainer specializes in medical coding, billing and compliance for pediatrics, ophthalmology, optometry, family practice and otolaryngology, including allergy and audiology. As vice president of programs for Eye Care Leaders and Visionaries, she brings best-of-industry eye care solutions to healthcare practices. Top industry thought leaders turn to her members-only Eye Care Visionaries program for advance practice management and leadership content, events...   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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