Billing, Coding and Documentation for Physicians
Medical Coding & Billing Hands-on CME Course

Our Price: $950.00

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Product Description
Billing, Coding and Documentation for Physicians
One-and-a-half-day Course Schedule: Course Agenda & Schedule
Faculty: Joan Gilhooly, MBA, CPC, PCS, CHCC

Course Locations & Conference Hotel Information
Book as a Private Program!

Earn up to 11.75 AMA PRA Category 1 credits™ and AAFP Prescribed Credits

Billing, Coding and Documentation for Physicians Course Description

How can you keep up with coding changes in addition to treating patients? Today’s medical practices need help. Coding is a team effort, with physicians, coding consultants, and trained staff members each playing a part in this critical process. Proper documentation and coding can increase office income.

Numerous and continuous coding and billing changes, as well as modifications in and federal regulations affecting the health insurance industry present a constant challenge to health care personnel. Those responsible for processing health insurance claims require thorough instruction in all aspects of medical insurance, including plan options, carrier requirements, state and federal regulations, selecting relevant information from source documents, accurately completing claims, and coding diagnoses and procedures. This CME medical conference will help you become familiar with aspects of effective coding and billing. Ample time will be designated to discuss, review and perform coding and billing scenarios and for questions. Billing questions will be answered in terms you can understand.


By the end of this workshop, participants should be better able to:
  • Review Medicare benefits, coverage policies and guidelines.
  • Using “Provider Newsletters,” “Memos,” “Transmittals,” “Coding and Billing Updates,” and other important messages from the Centers for Medicare and Medicaid Services (CMS), and insurance carriers.
  • Navigating the CMS website and state websites.
  • Identify strategies for using the internet to improve billing and coding issues.
  • Discuss National Provider Identifier (NPI) updates and Advanced Beneficiary Notices (ABN) updates and usage.
  • Discuss Local Coverage Determination (LCD) policies for Medicare, explanation and review of LCD state policies.
  • Discuss ICD-9, CPT- 4 and HCPCS coding updates, guidelines and polices.
  • Brief discussion on ICD-10.
  • Explain how to use the National Physician Fee Schedule Relative Value File.
  • Implement evaluation and management guidelines and services.
  • Learn how to optimize coding and billing to increase office revenues.
  • Discuss “Medical Necessity” and coding for “Medical Necessity.”
  • Utilize Modifiers.
  • Discuss National Correct Coding Initiative (NCCI) usage.
  • Discuss surgical coding rules: minor office surgery, bilateral surgery, global days, global billing.
  • Discuss medical record documentation – “Documentation drives everything.”
  • Discuss Medicare Preventive Services.
  • Discuss the claim submission processes and instructions, as well as claim denials, EOBs (explanation of benefits), how to read an EOB.
  • Read your Remittance Advice (RA).
  • Discuss site of service differentiation.
  • Track your reimbursement and enhance your revenue.
  • Discuss Recovery Audit Contractor (RAC) and other audit issues.

Billing Specialists attending the course with a Physician may receive a 30% Discount off the Registration fee.
Please contact NPI for more information.

2015 Course Accreditation

The Texas Academy of Family Physicians designates this live activity for a maximum of 11.75 AMA PRA Category 1 credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This Live activity, Billing, Coding, and Documentation for Physicians, with a beginning date of 06/28/2015, has been reviewed and is acceptable for up to 11.75 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Learn more about our Accreditation

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