Denials Management for Urology Practices

Event Information
Product Format
Prerecorded Event
Leesa A. Israel, BA, CPC, CUC, CPPM, CMBS
60 Minutes
Product Description

Ensure Your Practice Isn't Losing Money, By Honing Your Denials Management Skills.

In today’s economy, every dollar matters. It feel like you have to fight for the reimbursement you deserve. Every member of a urology practice plays a part — do you know yours? To keep your practice running, you have to keep the money flowing at a steady rate, which means quickly and properly working through the appeals process.  

In this 60-minutes session with expert speaker Leesa A. Israel, BA, CPC, CUC, CMBS, you’ll not only learn the top denials urology practices face, but also know how to avoid them. Clean up your claims from minute one with the tips you’ll learn in this audio conference. But every practice sees denials. For denials that can/can’t be avoided, you’ll find out how to tackle the challenge, and know when to appeal and when not to. Leesa will give you the tips, tricks, and tools to ensure that you get your denials paid.

Here's a look at what you'll learn:

  • Get to know the top 10 most common denials urology practices face.
  • Unlock the keys to avoiding the pitfalls of denials caused by modifier issues, miscodes, place of service errors, and more.
  • Learn the ins and outs of the appeals process, including must-know tips such as asking for a urology expert to review your claims.
  • Respond appropriately to denials and avoid spending wasted hours chasing claims — we'll teach you how.
  • Cookie cutter appeals letters won’t bring in the cash. Find out why.
  • Discover common urology situations that often lead to denials, but that you can — and should — appeal, such as same-day E/M and bladder scan, two ESWLs in one session, cyberknife coding, and robotic technology use.
  • Learn where you can go to get additional help.
  • Learn about administrative denials, provider-controlled denials, and coding denials.
  • What are the duplicate claims submissions and their reasons?
  • What are the bundling issues and how you can overcome these issues?
  • There are times when you can report the codes together using an appropriate modifier. How?
  • When you can use a modifier to override a bundle?
  • What is not included/bundled?
  • Most payers apply the national definition of global surgical package. Learn what are they?
  • Collecting payment for patients who are covered by two insurance companies can be a complicated and confusing process. Learn tips to handle this situation.
  • How you can stop modifier misuse?
  • What are the different types of modifiers that you can use?

Who should attend? Urologists, urology billers, urology coders, practice managers


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About Our Speaker

Leesa A. Israel - Urology Coding Expert


Leesa A. Israel, BA, CPC, CUC, CPPM, CMBS, specializes in medical coding and reimbursement for physician practices, as well as billing and collections policies and strategies. Leesa is currently the Audit Training Manager of the Coding Institute’s Consulting & Revenue Cycle Solutions. In this role, she provides auditing, consulting, and education services to practices around the country in a variety of areas, including urology, general surgery, and evaluation...   More Info
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