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.
Who Should Attend
The ideas and strategies discussed in this session will be relevant to:
- Donelle Holle
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...
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