Kim Garner Huey, CPC, CCS-P, CHCC, is an independent coding and reimbursement consultant in Auburn, Ala., providing clients training, auditing and oversight of health care coding. Huey is an approved coding instructor for the American Academy of Professional Coders Professional Medical Coding Curriculum, teaching in Birmingham and Montgomery, Ala. For more than 20 years, Huey has worked with providers in virtually all specialties, from cardiology to general surgery to obstetrics/gynecology to oncology to internal medicine, and more.
Sometimes a service is included in payment for another service and sometimes it isn’t. Other times you need to use modifiers to alert your carrier that a typically bundled service isn’t bundled this time. But if you use the wrong modifier, or assign a modifier when it’s not appropriate, trouble awaits.
Unbundling services that should not be. Missing or incorrect modifiers failing to break edits when it is justified. Carrier and CMS records show these kinds of errors popping up on millions of your claims each year, keeping hundreds of millions of dollars out of your hands. Add to that the services that go unbilled because billing staff incorrectly assume they are bundled, and the financial impact is magnified to dangerous levels.
Now is your chance to gather the tools and tips to streamline your billing process to eliminate these types of errors and speed your claims to timely payment.
Reimbursement pro Kim Garner Huey will show you:
- Strategies to avoid the oft-repeated errors involving use of key modifiers on claims
- Resources you can use to evaluate potential bundling scenarios and quickly determine when you can bill services separately and when they are properly bundled
- Modifiers you can use to tell Medicare you know a service is bundled in cases when another payer might pay you separately
- How to use modifiers in global surgery periods to ensure you don’t miss out on legit reimbursement.
CEUs:
1 CEU
This program has prior approval of the American Academy of Professional Coders (AAPC) for 1.0 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content or the program sponsor.
1 CEU (ASC and SCP)
See BMSC’s web site for details – www.medicalspecialtycoding.com
Sponsors:
Part B News, the nation’s leading independent newsletter and Total Information Service, helps physician practices and hospitals bill for Medicare services, comply with complex Medicare payment rules, produce cleaner claims and reduce denials.
DecisionHealth®, publisher of Part B News, ICD-9/CPT Coding Pro and Coding Answer Book, serves the business and regulatory needs of health care practitioners, providers and their administrative staff nationwide by offering more than 50 independent newsletters, magazines, books, web sites and loose-leaf services that help readers make the best business decisions. www.decisionhealth.com.
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