Conference on Medical Coding, Billing and Documentation

Overview: This is a critical phase for compliance. Documentation is the driving force for support of medical necessity & patient outcomes. The billing provider is responsible for ensuring that all pertinent data is clearly recorded in the patient's medical record.

The record also serves as protection for the provider should the encounter result in legal action. Missing or ambiguous documentation will be detrimental in patient complaints, and could be ruinous in extreme cases. Optimal coding is achieved by applying coding conventions and guidelines to documentation. Payers will process claims based upon your billing information. System edits will compare your billing patterns to peers in same practices. When medical necessity is questionable, requests for records are often generated. When documentation does not support billing, claims are usually denied. This program will examine the steps to optimal revenue outcomes. 

Why should you Attend: A large percentage of revenue necessary to meet operational costs is generated by coding, billing and documentation. When any of these areas are weak, revenue suffers. Learn tips to avoid lost dollars. Strong coding and billing skills in addition to strong, detailed documentation are keys in maintaining optimal control . Remember that the payer does not know your patients. Claims are processed based on information on the billing claim. When it is necessary to request records, documentation will be the key to supporting accurate billing. 

Don't leave money on the table. Lost dollars are often the result of weak coding and billing efforts. Stay in the game. Ensure that your dollars are not lost. 

Areas Covered in the Session:

• Documentation requirements
• Encounter form problems
• Code with highest degree of specificity and ensure documentation supports the codes
• Authorization of services
• Risks of cloned documentation
• Be realistic and accurate in Evaluation and Management selection
• Why you should code for co-morbidities
• Adhere to global surgery guidelines
• Use modifiers effectively

Who Will Benefit:

• Coders
• Billers
• Revenue cycle
• Physicians, mid-level providers
• Nurses
• Claims follow-up
• Managers

 

Speaker Profile 

Dorothy D. Steed is an Independent Healthcare Consultant and Educator in Atlanta. She was a Medicare specialist for a large hospital system and a physician coding audit supervisor for another hospital system, with 38 years of experience in healthcare. Additionally, she is an instructor at a state technical college in Atlanta, provides auditing & training in both facility and physician services, and has been a speaker at several healthcare conferences. 

Ms. Steed has written articles for several medical publishers and served as a contributing author for medical billing and coding training material. She writes online courses, and is an AHIMA certified ICD-10 trainer, both CM & PCS. Ms. Steed is credentialed in medical coding, medical billing, medical auditing.     Price : $139.00      Contact Info:   MentorHealth Phone No: 1-800-385-1607 FaX: 302-288-6884  support@mentorhealth.com Event Link: http://bit.ly/Medical-Coding-Billing-and-Documentation http://www.mentorhealth.com/   LinkedIn  Follow us – https://www.linkedin.com/company/mentorhealth  Twitter Follow us – https://twitter.com/MentorHealth1  Facebook Like us– https://www.facebook.com/MentorHealth1