Ramsey Dallal, MD, FASMBS; Titus Duncan, MD, FASMBS; Laura Baldwin, RN; Tina Napora, CMA, CPC
*Up to 3.75 CME credits available.*
*Up to 4.0 CE credits available.*
Course Overview and Target audience:
This course is designed for surgeons, integrated health personnel, program administrators, practice managers, and program billers/coders and will provide information on considerations that may impact reimbursement for bariatric providers. It focuses on a multitude of areas that are relevant to reimbursement and will deliver strategies and tips to assist with managing this complex issue.
Upon completion of this session, participants will be able to:
- Discuss the impact of healthcare reform on reimbursement
- Identify effective strategies for managed care contracting
- Discuss bariatric surgery billing and coding considerations, use of physician extenders, and aftercare considerations
- Provide an overview of revenue cycle management
- Discuss effective management of claim denials
Maintenance of Certification:
For bariatric surgeons, Integrated Health, Program Administrators, Practice Managers, and Program Billers/coders, this event will provide CME in their specific specialty to comply with Maintenance of Certification (MOC) in the following areas: (1) Interpersonal and Communication skills, (2) Professionalism, (3) Practice-Based Learning and Improvement, (4) Systems-based practice.
Welcome and Introduction – Ramsey Dallal, MD, FASMBS & Titus Duncan, MD, FASMBS
The Importance of Business Planning — Matthew Brengman, MD
Managed Care Contracting for Physicians – Sunil Bhoyrul, MD
Billing and Coding: Modifiers and CCI Edits – Tina Napora, CMA, CPC
Revenue Cycle Management – Laura Baldwin, RN
Q & A Session
Facility Reimbursement Considerations – Laura Baldwin, RN and Ben Kocaj, MBA
Billing and Coding Considerations for Physician Extenders – Tina Napora, CMA, CPC
Pre-Service Claim Denials: How to Avoid Them and Effective Strategies for Appeals– Walter Lindstrom, Esq.
Q & A Session
// Content is tentative and subject to change //