Catalog Number : cra1720
Title : Coding & Billing without Consultation Codes
Speaker : Duane Abbey

Webplay Recording Date : 11-16-2010
Webplay Price : $ 200 for two weeks viewing

Webinar Objectives:

• To review the consultation codes as they still appear in the CPT Manual
• To compare and contrast inpatient consultation from outpatient consultations
• To appreciate why the Medicare program has dropped the consultation codes for both hospitals and physicians
• To review what hospitals must adjust for provider-based clinics and technical component claims
• To review what physicians and clinics must adjust for freestanding practices and professional claims
• To understand the need for the new “-AI” modifier
• To appreciate the challenge for filing proper Medicare secondary claims
• To appreciate the challenge for filing proper private third-party payer secondary claims
• To work through a series of case studies illustrating the challenges of Medicare without the consultation codes

Webinar Outline/Agenda:

• Overview
• Consultation Codes
• Inpatient vs. Outpatient
• Documentation and Coding Guidelines
• Why Medicare Dropped the Consultation Codes
• Physician Adjustments for Medicare
• Alternatives for Inpatient Consultations
• Use of the “-AI” Modifier
• Alternatives for Outpatient Consultations
• Filing Secondary Claims
• Case Studies
• Hospital Adjustments for Medicare
• Provider-Based Clinics
• Alternatives for Outpatient Hospital Consultations
• Filing Secondary Claims
• Case Studies
• Establishing Coding/Billing Policies and Procedures
• Medicare Without Consultations
• Private-Third Party Payers with Consultations
• Secondary Claim Challenges
• The Future for the Consultation Codes Sources for Further Information

Target Audience:

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

Attendance Certificate:

Upon attending this course you will receive a 1.5 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.