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    Reimbursement 101: Overview of Billing and Coding Issues by Healthcare Setting [CC]

    Reimbursement 101: Overview of Billing and Coding Issues by Healthcare Setting [CC]
    CLE 60 min

    Reimbursement 101: Overview of Billing and Coding Issues by Healthcare Setting [CC]

    Billing and Coding play crucial roles in all healthcare settings, and there are several common issues that healthcare providers and entities may encounter. Analyzing billing and reimbursement data is essential to identify trends, optimize revenue, and ensure compliance. This presentation will cover key areas for both facility and professional services.

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    Closed Captioned.

    Billing and Coding play crucial roles in all healthcare settings, and there are several common issues that healthcare providers and entities may encounter. Analyzing billing and reimbursement data is essential to identify trends, optimize revenue, and ensure compliance. This presentation will cover key areas for both facility and professional services:

    • Coding errors: Mistakes in assigning accurate medical codes for evaluation and management (E/M) services, procedures, modifiers, and diagnosis codes.
    • Insurance denials: Carriers may deny claims for various reasons, such as incomplete documentation, incorrect coding, or lack of medical necessity.
    • Payer reimbursement guidelines
      • Facility Services: DRGs, APCs
      • Professional Services: CPT, HCPCS, Modifiers, ICD-10 codes
    • Payer audits: Ensuring that provider and organizational claims are accurate, compliant with coding and billing guidelines and meet payer coverage criteria.

    Product Details

    Product Code

    HL2310REIOLC

    Duration

    60

    Publication Date

    10/2/2023 12:00:00 AM

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