2018 CPT & ICD-10 Updates and Review on Leveling of Care

Event Information
Product Format
Prerecorded Event
Presenter(s)
Conference Date
Thu, Dec 07, 2017
Length
90 minutes
Product Description

Expert Insights on the 2018 Pediatrics Coding Updates


Did you know, billing a few more 99214s instead of 99213s per week can increase your revenue by thousands of dollars? You may be under-coding what you consider routine visits, which is common in pediatrics. Not all visits should be coded as 99213! Reading the CPT code book can be very confusing in trying to understand new codes and worse trying to learn how to document services appropriately.  All pediatric providers, regardless of specialty, could use a better understanding of what’s included in a level of care. Likewise, coders and billers for any type of practice that rely on visits as their bread and butter, as well as office managers and practice administrators who oversee coding analysis in their offices could always use a brush-up.

Join pediatrics coding expert Donelle Holle, in this session, where she will discuss the best practices for appropriately coding for those extremely important office visits, with a focus on the new CPT® and ICD-10 codes specific to pediatrics for 2018. During this session you will learn how to appropriately use any new or revised codes as well as get an in-depth study of what is in a level of care and how to appropriately document those services. This session will enable you to properly code for your services which will not only keep you compliant with the insurance carrier but maximize your reimbursement. You will be able to code to the appropriate level of care which more than likely will increase your revenue significantly.

In this session, you will also learn how to use the diagnosis codes to ensure appropriate reimbursement from the insurance carriers. Have you heard that CMS may be changing the way a level of sick visit is determined?  In this session, you will hear the latest information from the American Academy of Pediatrics in regards to this issue. You will also get an understanding of when and why you should bill a sick and well visit on the same date of service. Understanding diagnosis codes will lead to more appropriate payment for services rendered.

Last but not least, not being afraid of an audit is a great feeling! Donelle will help you understand what has to be documented, and enable your practice to stay out of the eye of an audit. Knowing how to document correctly will make you more confident in an audit.

Session Highlights

  • New and revised 2018 CPT® codes specific to pediatrics
  • New and revised 2018 ICD-10 codes specific to pediatrics
  • Breakdown of sick visits and how to properly document those services
  • How to document two services on the same date of service
  • The importance of diagnosis coding in regards to risk adjustment
  • The use of Z codes and when they are applicable

Session Agenda

  • Psychiatric collaborative care management (PCCM)
  • Care management services for behavior health by clinical staff
  • Revisions
  • Radiology: Deletions and revisions
  • Vaccine: New codes and revisions
  • Medicine section
  • E/M payments: 2017 Medicare
  • Reimbursement
  • Pediatrics down codes
    • 99203/99214
  • Medical decision making
  • Critical care codes
  • Newborn care codes
  • After-hour codes
  • ICD-10 codes
  • Diagnosis coding
    • Chronic diagnosis
  • 2018 ICD-10 changes
  • ICD-10 information for neonates

Who Should Attend

The ideas and strategies discussed in this session will be relevant to:

  • Pediatricians, NP’s and PA’s
  • Practice administrators and office managers, especially those interested in having a better understanding of coding and how it affects pediatrics
  • Billers and coders
  • Clinical staff who may be involved in helping with coding for the providers

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

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About Our Speaker

Donelle Holle - Pediatrics Billing Coding Expert

 

Donelle Holle is an RN with over 38 years of experience in Coding and Billing. She started in a pediatric office and left to go into consulting work. She has worked in Pediatrics most of her career even when doing consulting as primary care is her specialty with Pediatrics as her subspecialty. She is the past director of Professional billing for the University of MI, Dept. of Pediatrics...   More Info
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