PG02: Coding For Reproductive Medicine Practices 2013

Date:October 12, 2013

Time:8:15 am - 5:00 pm

Location:Room 208 - Boston Convention and Exhibition Center

Presenters

John T. Queenan Jr., M.D. (Chair), University of Rochester Medical Center

George A. Hill, M.D., Nashville Fertility Center

Supporters

Developed in Cooperation with the American Society for Reproductive Medicine Coding Committee

ACGME COMPETENCY
Systems-based practice
 

NEEDS ASSESSMENT AND COURSE DESCRIPTION 
Every reproductive medicine practice has a legal and ethical obligation to follow a specific set of rules and regulations that determine how reimbursements are calculated. Failure to follow these rules can result in unfair practices to patients and/or legal consequences from government or third-party payers. The problem is those rules and regulations have become so complex that most people cannot understand them without receiving special training. 

This live course, designed for physicians, practice managers, billers, office managers, sonographers, laboratory managers, and physician assistants, will include didactic lectures, panel discussions, case presentations and interactive question and answer sessions. The correct way to report diagnostic codes and select the appropriate procedure codes will be explained, with a focus on quality improvement and minimizing errors. Systemsbased resources available to aid in improving patient billing accuracy will be addressed, as will information technology resources that provide participants with the ability to continue updating their knowledge of correct coding in the future. Special attention will be given to the upcoming changes in the International Statistical Classification of Diseases and Related Health Problems (ICD), 10th Revision.

LEARNING OBJECTIVES
At the conclusion of this course, participants should be able to:

  1. Demonstrate correct coding of diagnostic conditions that are typically encountered in the practice of reproductive endocrinology.
  2. Identify the correct Current Procedural Terminology (CPT) code for surgical procedures encountered in the practice of reproductive endocrinology and list additional resources available to aid with correct coding procedures in the future.
  3. Summarize the rules and regulations required by third-party payers regarding documentation guidelines to verify that physician services were rendered according to medical necessity and in accordance with the requirements of CPT.
  4. Describe the proper steps for successful verification or negotiation of coverage in obtaining third-party payer coverage for fertility services.

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