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Description of the topic:
Part of billing and coding to medical insurance carriers involves following guidelines and policies and applying them to the claims in order to submit claims that are considered clean. This means that the claim will process through the insurance companies’ processing system, resulting in payment to the medical provider, sometimes in little as 5 business days. CMS(Medicare) creates its own policies referred to the National Correct Coding Initiative (NCCI) that many insurance companies also adopt in the processing of claims, however, individual insurance companies will also have their own policies that they apply when processing claims. These policies can be published by the insurance company prior to implementation, so that providers can apply them to their claims when it is the right time. The policies are normally implemented by date of service, and keeping up with all of the changes can be a grueling task. Sometimes these changes affect the practices of the office and require any number of staff to require training. It is important that offices stay on top of these changes, and apply them to their medical claims to avoid possible disruptions in payment of their claims.
All insurance companies create policies in which they process medical claims. Whether it is based on CMS edits and guidelines, or their own creation, these policies allow providers to send clean claims for timely payments.
Why should you attend?
This webinar will help medical offices understand how to identify, understand, and implement insurance carrier updates and policies in an easy matter. We will look at the major insurance carriers, including Medicare, and construct a plan on how providers and their staff can organize policies and implement them into their compliance plans. Keeping up with the updates can be a full time job, so attendees will receive helpful hints in obtaining new policies and updates efficiently and weeding out what is important to them depending on their office and specialty (ies). There are also times when insurance carriers create new policies or update current policies and the announcement of these changes is either untimely, or perhaps never published. This webinar will show attendees how to work with these circumstances and also when an insurance carrier applies a policy inappropriately and an appeal is necessary.
Areas Covered in the Session:
Who will benefit:
Physician, non-physician provider, scribe, medical assistant, nurse, biller, coder, manager, administrator, collector, reimbursement specialist
Lynn Anderanin, CPC, CPPM, CPMA, CPC-I, COSC, is the Sr. Coding Educator for Healthcare Information Services, a physicians revenue cycle management company. She has over 38 years experience in all areas of the physician practice, and has experience in oncology and rheumatology. Lynn is currently a Workshop and Audio Presenter. She is a former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served on several other boards for the AAPC. She is also the founder of her Local Chapter of the AAPC.