ACOG District XII Meeting

Coding and Reimbursement Agenda

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Friday, August 11

7:00─8:00 AM


8:00─9:00 AM

2017 Changes & Updates to CPT Codes and the Medicare Fee Schedule

  • CPT Code Changes, New, Revised and Deleted Codes
  • Office of Inspector General (OIG) Work Plan and 2017 Targeted Services
  • Changes to the Medicare Fee Schedule
  • Changes to the Relative Value Units and How It Impacts Your Reimbursement

9:00─10:00 AM

Common Coding Errors the Impact Your Reimbursement and Lead to Audits

  • Pitfalls of the Electronic Health Record
  • When and How to Use Modifier 25
  • Reporting Services Outside of the Global Obstetrical Surgical Package
  • Required Documentation for In Office and Minor Surgical Procedures
  • Utilization & Importance of Nationally Recognized Source Documents
  • Understanding Local Coverage Determinations
  • Learn More About It
  • Questions & Answers

10:00─10:15 AM


10:15 AM─12:15 PM

Surviving an Insurance Carrier Audit & Prepayment Review

  • Identifying the Different Types of Audits
  • Medicare Audits verses Commercial Carrier Audits
  • How to Respond to the Request for Records
  • The Appeal Process
  • How to Draft Your Appeal
  • The Various Levels of Appeals
  • Arbitration verses an Administrative Law Judge Hearing
  • Settling the Case
  • Pre-Payment Review
  • Common Coding Errors & Staying Compliant
  • Learn More About It
  • Questions & Answers

12:15 PM


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