Coding and Billing Challenges for Pulmonary Function Testing

Event Information
Product Format
Prerecorded Event
Jill M. Young, CPC, CEDC, CIMC
60 Minutes
Product Description

Be Careful About the Billing and Coding Pitfalls that May Occur in Pulmonary Function Testing

Mostly the Pulmonologist offices are performing Pulmonary Function Testing. The challenges for the compliant coding, billing and documentation of these tests remain the same. This is truly one of those areas where just because you are getting paid does not mean you are "doing it right". Proper diagnoses, CPT codes, modifiers and documentation are needed for the physician interpretation, and are a part of the big picture. Without any one of these, your reimbursement might be in jeopardy.

Join Jill M. Young, CPC, CEDC, CIMC in this 60 minute session to:

  • Understand what pulmonary function test is and the difference between a "single" and a "double" loop
  • Know how the test result(s) look like
  • Identify the medical necessity of advanced testing - where to find guidelines and how to document it
  • Know where to find information on which pulmonary tests are bundled into others
  • Find the "tough" diagnostic issues in working with these tests

Topics covered in the session:

  • What are CMS (and many other insurance company's) requirements for physician interpretation of pulmonary testing - not just PFT but others
  • Diagnosis issues - what to do if the test is normal
  • What will be different with ICD-10
  • Pitfalls in electronic medical records for ordering office tests
  • Use of modifiers with testing - the good and the bad
  • Provider based billing, what do you do different and why

Who should attend? Coders, Billers, Office managers, Office Administrators

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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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