Description

any changes have gone into effect in the healthcare industry and organizations should be monitoring their existing records to make sure they are capturing services and maximizing their reimbursements. When denials happen, and they do happen, it is on the central billing office collectors to find proven ways to fight these denials when warranted and win in the appeals process. This presentation will address collections and appeals for the GI specialty, along with including \\\\"real\\\\" working examples for attendees to use in the future as tools of the trade.

Areas Covered in the session:

• Appealing the 2017 Moderate Sedation Codes for gastroenterology services when the payer says it\\\\'s included in the main procedure.
• Appealing multiple endoscopies at the same encounter when a line item gets denied.
• Patient intake directions with discussions on patient share of cost collections.
• Modifiers and collections. Making sure they are used correctly to optimize reimbursement.
• Knowing what payers want and why
• Patient deductible and co-pay collecting
• Multiple procedure denials and how to tackle them  

 What tools and benefits will your session provide to the attendees?

Real Case Study examples, How to Tips for physicians, and easy to understand CPT references to aid in the collection and reimbursement process. Also, a starter kit of collection letters will be given to every attendee.

Who should Benefit?

• Coders, Billers
• Administrators
• Collectors
• physicians
• back office 
• mid-levels
• Cath lab employees 
• Hospital Outpatient coders