Pediatrics

Donelle Holle

RN

Richard Lander

MD, FAAP

Pediatric coding is not child’s play. Pediatric patients represent a unique clinical population with their own set of issues. And being prepared for the code changes and guideline adjustments facilitates accurate reimbursement, a critical factor in your ongoing success. After all, what would be the advantage in starting the new year without it?

Join pediatric coding experts Donelle Holle and Dr. Richard Lander to discover the new, revised, and deleted CPT® and ICD-10 codes specific to pediatrics. This information-packed virtual boot camp will bring you up to speed with the codes specific to pediatrics, as well as the latest on newborn care, after-hours, chronic diagnosis, and critical care codes. You’ll learn proven strategies for choosing the proper care level for office visits so you don't lose out on deserved reimbursement. But that’s not all: you’ll also learn what it’s like to spend your day CPT® coding like a pro, as Dr. Richard Lander walks you through the different types of pediatric coding scenarios to make sure you miss nothing, and start seeing increased revenues in the coming year!


Sessions

2019 CPT® & ICD-10-CM Coding Updates for Pediatrics

Duration: 60 minutes | Presenter: Donelle Holle | CEU: 1 AAPC CEU

Polish up your coding for 2019 in this information-packed coverage of CPT® and ICD-10 code updates by pediatrics coding specialist Donelle Holle. Holle will guide you through key details of the old unchanged codes, teach you how to use and document the new, tricky CPT® 2019 codes specific to pediatrics, and also share the new code for chronic care management. Holle will bring you up to speed with the new 99451-99454 codes, and explain interprofessional management service and remote monitoring. She will discuss the revision to the current 99446-9 codes; show you how to find the resequenced developmental and behavioral screening codes; and discuss the inclusions in the Z codes—such as added vision and hearing screening to the well care codes for children.

 Holle will also review the older diagnosis codes to ensure that you’re using all your ICD-10 codes appropriately. Attending this session will arm you with the knowledge and the confidence you need to use the new CPT® and ICD-10 codes properly. Plus, you’ll pick up great advice on how best to integrate the code changes into your billing processes for 2019.


E&M and Review of Important CPT® Codes Specific to Pediatrics Procedures

Duration: 90 minutes | Presenter: Donelle Holle | CEU: 1.5 AAPC CEUs

Pediatricians spend considerable time dealing with patients with special care needs. Current Procedural Terminology (CPT®) has specific guidelines for using time as a key factor to determine the level of E&M service. In this session, expert pediatrics coding expert Donelle Holle will extensively review the gamut of pediatric services that attendee-physicians, non-physician providers, coders and billers will find useful to document, code, audit, and bill more confidently. You’ll learn the ins and outs of pediatric CPT® and ICD-10 coding – such as the documentation requirements for sick visits, how to document a procedure correctly, the specific requirements for timed codes, how and when to use prolonged care codes to maximize your reimbursement, and how to use codes for developmental, behavioral, and depression screenings.  

Documenting services are the bread and butter of pediatrics, and are vital for staying compliant with insurance carriers. You will find the review part of this session immensely helpful as it will remind you of the codes you may have forgotten, and also encourage you to use the codes appropriately – such as for prolonged care, non-face to face or after-hour visits – and get fully paid for your services.


Modifiers and How to Do an Audit

Duration: 90 minutes | Presenter: Donelle Holle | CEU: 1.5 AAPC CEUs

Get clear about modifier usage, and learn when, why, and how to use modifiers properly. In this session, pediatrics coding specialist Donelle Holle will review the modifiers frequently used in pediatric billing. You will learn how to use a modifier, how it will affect reimbursement, when a modifier is appropriate, and how to know which modifier to use and when. You will also learn about the importance of NCCI edits – including how to use them in a denial situation. Holle will also teach you how to perform an audit, what you should do when you get an audit or a denial – as well as how to make an appeal. If you’ve been losing revenues due to incorrect modifier assignment – or are concerned about it – this session will help you take charge and ensure compliance by knowing how to use each type of modifier properly.


Spend a Day in Office CPT® Coding With a Pediatrician

Duration: 120 minutes | Presenter: Dr. Richard Lander | CEU: 2 AAPC CEUs

Whether you’re a new pediatric biller or a seasoned veteran, you know there’s a lot more to filing a pediatric claim than meets the eye. Because one little mistake can make a big difference.

Learn what it’s like to spend a day in the office CPT® coding with pediatric coding trainer Dr. Richard Lander, as he walks you through the many types of encounters you will typically see in a pediatrician’s office. Dr. Lander will show you how to choose the correct CPT® codes for different types of office visits, as well as how to document them appropriately so that you don’t get under-reimbursed. You will learn how to determine the correct level of CPT® code by utilizing the key components of a patient’s history, physical examination, and medical decision making for the service you perform. You will also learn how to select the appropriate level of 992xx codes based on time; how many points of the history of present illness/organ systems in the physical examination are needed for 99212-5; what must be covered in medical decision making for a 9912-5; and what constitutes a new vs. established patient. After attending this unique session, you will be confident in your ability to select the proper CPT® codes for office visits, enhance your financial bottom line, and survive an insurance audit of your charts (if there’s one).