Accurate coding and billing have never been more vital to your medical practice. Reduced allowable and increased attention from the Office of the Inspector General (OIG) leaves no room for error when billing for physician services. Unfortunately, most providers have not gained, but lost revenue potential through the industry´s claims modernization process and proliferation of different types of contracts and payers.
This coding program will review current Medicare policy and requirements for office visits, testing services and services provided during the post-operative period. Specific documentation and medical necessity requirements will be studied along with modifier usage with case study examples. Participants will leave with current and immediately applicable expert knowledge to accurately bill and receive for services without the fear of audit from outside entities.
WHAT YOU WILL LEARN
- Medicare Program Rules and Regulations
- Documentation Requirements and Strategies
- Global Surgical Package and Modifier Usage
- Ophthalmic Testing Services and Office Visits
- Medicare program policy
- OIG work plan pertaining to physicians´ services
- Use of E&M codes vs. eye codes
- Consultation service requirements
- Testing service documentation, bundles and supervision requirements
- Modifiers and the Medicare global surgical package
ABOUT THE SPEAKER
RAEQUELL DURAN, CPC, is a Practice Management Consultant specializing in Ophthalmology and has almost 20 years of experience in the medical field. Ms. Duran worked at a multi-specialty clinic, a sub-specialty retina practice, a multi-specialty ophthalmology practice and in the hospital setting prior to starting her consulting Company, Practice Solutions, in 1996. As a consultant, Ms. Duran performs compliance audits, staff and physician education, accounts receivable department audits and business office organization. Ms. Duran has presented national coding meetings for organizations such as the American Academy of Ophthalmology, American Society of Ophthalmic Administrators, the California Academy of Ophthalmology, the Connecticut Society of Eye Physicians and other state societies and private practices for the last 10 years. She is also the consulting editor for the Ophthalmology Coding Alert. Her areas of expertise include CPT-4 and ICD-9 coding, evaluation and management code documentation requirements, Medicare billing guidelines, chart documentation and technician training.
WHAT PEOPLE ARE SAYING
"Raequell is very knowledgeable of coding
issues and presents the material in an educational and entertaining manner"
- Sue Chasteen, Executive Director, Tennessee Academy of Ophthalmology
WHO SHOULD ATTEND
- Billing, Insurance and Coding Personnel
- Office Managers and Practice Administrators
- Business Office and Insurance Department Managers
- Medical/Office Assistants
Coding, Documentation and Billing for Ophthalmology and
Optometry meets the criteria of the Professional Association of Health Care
Office Managers and is approved for 6.0 CEUs.
This program has prior approval by the American Academy of
Professional Coders for 6.0 Continuing Education Units (Index #CCE0515070814A).
Granting of prior approval in no way constitutes endorsement by AAPC of the
program content nor the program sponsor.
This program/activities has been granted prior approval by the
American Association of Medical Assistants (AAMA) for 6 Continuing Education
Units. Granting Approval in no way constitutes endorsement by the AAMA of
neither the program content nor the program's sponsor.
This seminar qualifies for 6 continuing education hours as
required by many national, state and local licensing boards and professional
organizations. Save your course outline and certificate of completion, and
contact your own board or organization for specific filing requirements.
Seminar Check-In 7:30 AM; Semianr Class 8:00 AM - 3:30 PM