Product Detail

1. Maximize your reimbursement by emphasizing proper coding
2. Outline the 2018 changes to ICD-10-CM and CPT codes and how they affect your practice
3. Identify when to use attachments
4. Explain how to treat medical necessity denials
5. Assess what ICD-10-CM denials are most popular common
6. Discuss tips and techniques to obtain optimal and timely reimbursement
7. Examine bundling and how or when to unbundle codes
8. Illustrate proper submission of incident-to claims
9. Recognize what downcoding is and how to fight it and avoid it

 

FIRST LOOK AT 2018

• The coding process
• What to expect for 2018

• The OIG Work Plan
• Proper use of prolonged time codes - how this can help your practice, immediately

 

THE CODING PROCESS IN THE CHANGING HEALTHCARE ENVIRONMENT

• 2018 ICD-10-CM codes—a closer look
• OIG work plan issues for physician billing
• An overview of CPT changes
• Modifiers and which ones can enhance reimbursement
• Unraveling the complexities of Medicare, Medicaid, and Third Party Insurance

 

NAVIGATING THE INS AND OUTS OF THE CLAIMS SUBMISSION PROCESS

• Know when documentation must be submitted with the claim
• The elements of an incident-to claim
• Recognize CCI edits (bundling) and understand how and when to unbundle

 

DOCUMENTATION, DOCUMENTATION

• What to do if you have been downcoded
• How to analyze and solve difficult billing problems
• What to look for with a denial for medical necessity
• Understand what to use from the documentation for an appeal or correction

 

EFFECTIVE TECHNIQUES FOR BETTER BILLING

• How to avoid the most common errors
• Know when to appeal and when to "write it off"
• Understanding the importance of physician profiling
• News from the CMS front that may impact your billing

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Biography is not currently avaiable.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-397-0180 for more details.

Listed below are the continuing education credit(s) currently available for this self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

Continuing Education Information
This educational offering is designed to qualify for continuing education for many professionals in every state.


Materials that are included in this course could include interventions and modalities that are beyond the authorized practice for your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.


Listed below are the continuing education credit(s) currently available for this educational offering. Please note, your state licensing board dictates what is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact customerservice@vyne.com or 800-397-0180.


CE information is based on 100% attendance.

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Nurses

Vyne Education, LLC. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. This educational offering is offered for 6 contact hours.

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Other Professions
This educational offering qualifies for 6 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.

All Professionals
In order to process continuing education, please supply the appropriate license certification number on the evaluation form.

Certificates, Educational Offering Completion Requirements
Certificates will be awarded upon receipt of payment and successful completion of the educational offering and evaluation form.

Requirements
Please note that full attendance and the completion of a post course assessment with a score of 80% or greater is required to receive full credit. Variable credit will not be awarded.

Technology Requirements
Digital Seminars, Live Video Webcast, and Online Course will require participants to set up a personal portal account via Vyne Education, LLC.’s website at www.vyne.com and have access to a computer with a sound device. Participants will have digital access to the  recording, course manual, post-test, and evaluation form. DVDs are sent through the mail (USPS). Participants will need access to a computer with an internet connection and a DVD drive. Participants will receive an Instruction Sheet and a DVD containing a link to the course manual, the video-recording, and a link to post-test and evaluation form. Participants have two options when completing their post-test and evaluation form; Participants may complete their test and evaluation online, which will require access to a computer and their personal portal account, or they may download, print, and complete the paper test and mail back to Vyne Education. 

ADA
If you require ADA accommodations, please contact Vyne Education at least two weeks before the seminar date or prior to purchasing any online or distance learning products so that arrangements can be made.

Coding and Billing, Medical Office, Medical Records Personnel, Nurse Management, Nurse Practitioner, Nursing, Physician Assistant