Catalog Number : cra1278
Title : Coding, Billing & Reimbursement for Gastrointestinal Services
Speaker : Duane Abbey

Webplay Recording Date : 6-8-2011
Webplay Price : $ 200 for two weeks viewing

Webinar Level:

• Intermediate to Advanced

Prerequisites for Participating:

General knowledge of coding billing and reimbursement.

Webinar Objectives:

• To identify recent changes in coding and billing for gastroenterology services
• To discuss the APC payment system and grouping process for gastroenterology services
• To explore MPFS and the unusual payment process for families of gastroenterology services
• To identify the differences between coding for hospitals and coding for physicians
• To review the various types of CCI edits used in the gastroenterology area
• To review the proper use of the modifiers
• To discuss how the hospital chargemaster should be established
• To review the process for establishing physician fee schedules using RBRVS
• To explain the need to properly develop documentation for services in gastroenterology

Webinar Outline/Agenda:

• Overview of Recent Changes for Gastroenterology
  • CPT Codes
  • HCPCS Codes
  • New Technology
• CPT Coding Guidelines
  • Gastroenterology Codes
  • Families of Codes
  • CCI Edits
  • Use of Modifiers
• APC Payment For Gastroenterology Services
  • Typical APC Categories
  • Conscious Sedation Issues
  • Mapping of Codes to APCs
  • Sample Cases
• RBRVS Payment for Gastroenterology Services
  • Family of Codes Concept
  • Base Plus Incremental Payments
  • Sample Cases
• Establishing Pricing and Fees
  • Hospital Chargemaster
  • Physician Fee Schedule
  • Freestanding GI Laboratories
• Compliance and Documentation Issues
  • Documentation Systems
  • Auditing Considerations
  • Freestanding versus Provider-Based Services
  • Hospital versus Ambulatory Surgical Centers
• Case Studies and Exercises

Target Audience:

• Billing and Claims Transaction Personnel
• Chargemaster Coordinators
• Financial Analysts
• Compliance Personnel
• Nursing Staff
• Clinical Staff
• Physicians
• Other Interested Personnel

Attendance Certificate:

Upon attending this course you will receive a 2 Contact Hour Attendance Certificate.  There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.