Common Physical Medicine Coding Errors
Overview:
This seminar will analyze the fundamental difference between modalities and procedures as well as differentiating the various levels of contact required for the various modalities and procedures defined in CPT. We will also provide attendees with an analytical approach for determining the correct coding result regardless of how a therapeutic intervention is named (or mis-named) using AMA CPT Editorial panel code utilization guidance. The presenter will then identify a number of the more common mistakes in therapeutic code selection that give rise to post-payment liability. A number of example therapeutic interventions will be used as case studies to provide practical exercise in the application of the analytical approach provided. A variety of carrier medical policies will be reviewed as examples demonstrating the wide divergence in carrier approaches to therapeutic service coding. Finally, we will identify common errors relative to the use/mis-use of modifiers.
You Will Learn:
- The differentiating criteria between modalities and procedures and how this criteria is used in code selection.
- How to analyze the degree of contact “required” for a therapeutic service.
- The most common coding errors associated with therapeutic service coding.
- Appropriate use of modifiers relative to therapeutic service coding.
CEU approved for all CPCs, CPC-Hs, CPC-Ps and the following specialties: CPCO, CEDC, CEMC, CCPC CPMA, and COSC.
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Corporate Members: $89.96
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About The Presenter
Mr. Miscoe has a bachelor's of science degree from the United States Military Academy, a juris doctorate degree from Concord Law School, is a Certified Professional Coder, Certified Ambulatory Surgical Coder, Certified Urology Coder, Certified Chiropractic Professional Coder, Certified Healthcare Compliance Consultant, the President of Practice Masters, Inc., and the founding partner of Miscoe Health Law, LLC. He is a past member of the AAPC National Advisory Board and is a current member of the AAPC Legal Advisory Board. He is admitted to the Bar in the state of California as well as to the practice of law before the US District Courts in the Southern District of California and the Western District of Pennsylvania.
Mr. Miscoe has nearly twenty years of experience in health care coding and over thirteen years as a compliance expert testifying in civil and criminal cases. He has an extensive national speaking background and has been published in numerous national publications on a variety of coding, compliance, and health law topics.
To contact the webinar department, email webinars@aapc.com or call (800) 626-2633, option 4.
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