Billing and Coding: How to Optimize


Tuesday, May 3, 10:15 - 11:45 am

CME Credit Hours: 1.5

The skill of billing and coding is a learned one. Optimizing billing and coding has become crucial with the ever-growing trend of productivity-based compensation. Providers are often expected to reach productivity targets in employed positions and need to optimize reimbursement in the private practice setting to create a thriving and profitable practice.

This symposium will present several ways in which ASCRS members can optimize billing and coding for procedures and patient encounters, avoid pitfalls of low-yield coding practices, and understand the need to partner with your billing and coding team to maximize RVU value and reimbursement.

Objectives

At the conclusion of this session, participants should be able to:
  1. Recognize how to use modifiers and add on codes
  2. Explain the recent changes in E/M outpatient visit rules: Medical decision-making vs. Time
  3. Recognize strategies for optimizing first-assist and co-surgeon roles
  4. Identify ways to maximize reimbursement for unlisted procedure codes

Agenda

Co-Directors:    
Matthew Giglia, MD, Baton Rouge, LA

Kelly Tyler, MD, Springfield, MA
 
10:15 am            
Introduction
Matthew Giglia, MD, Baton Rouge, LA
Kelly Tyler, MD, Springfield, MA
 
 10:20 am            
The Changes are Here: E/M Outpatient Coding 2021
Stephen Sentovich MD, Duarte, CA
 
10:35 am            
Bundling and Add-on Codes: When to Use These and Why
Jennifer Paruch MD, New Orleans, LA
 
10:50 am            
Effective Use of Modifiers: What Can be Gained?
Jason Mizell, MD, Little Rock, AR
 
11:05 am            
Unlisted Procedure Codes: Why is There No Code for This? Maximizing Reimbursement and RVU Value
Guy Orangio, MD, New Orleans, LA
 
11:20 am            
Pitfalls of Co-surgery and First assisting: Avoid Common Mistakes
Rebeccah Baucom, MD, Lubbock, TX
 
11:35 am            
Panel Discussion/Questions and Answers
                               
11:45 am            
Adjourn