Betsy Nicoletti

Medical Coding and Compliance Expert, Speaker, Educator, and Auditor

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To Credit or Not to Credit: Auditing E/M Services

From: September 21, 2017

To: September 21,2017

www.codingintel.com

When it comes to auditing E/M services, there’s black, white and a whole lot of gray. Reasonable auditors can disagree. So, how can auditors and coders accurately select a level of service?

First, by thorough knowledge of the Guidelines themselves. Second, by developing a set of internal, defensible policies that address the gray areas of the Guidelines. Prior to the webinar, participants should re-read the original Guidelines and have a copy printed for reference.

The webinar will list common gray areas and suggest policy options for assessing: copying/pasting, over-documentation, how to score the 1995 exam, what “work up planned” means, how to credit—or not—the words “negative” and “non-contributory.” There will be a discussion of medical necessity and the non-key component, nature of the presenting problem.

Some parts of the Guidelines are open to interpretation, and attending this one hour webinar won’t change that. But, it will give coders the tools to develop an internal, consistent policy that is in line with the Guidelines. Attendees who register for the event are welcome to submit questions and topics up to two weeks ahead of time for inclusion in the discussion.

As always, the webinar is free to CodingIntel members.

Filed Under: Uncategorized

Coding the global surgical package: Your guide to bundles, modifiers and more

From: Thursday, September 19, 2017

To: Thursday, September 19, 2017

Venue: DecisionHealth
DecisionHealth.com

The global surgical period is a complex array of rules, regulations, bundles, and do-not-report policies for medical practice staff. Put your questions to rest with a comprehensive training session that will cover E/M coding, modifiers, code bundles, same-day decision-making, pre-surgical visits, and much more. Don’t lose out on billable services because of a few complicated rules.

Join expert speaker Betsy Nicoletti, CPC, as she teaches participants how to avoid revenue loss by correctly coding office visits and procedures during the global surgical package. She will show attendees how to accurately report E/M modifiers and surgical modifiers to get their claims through and explain how surgical periods affect claims reporting. Nicoletti will also explain how to navigate bundled services and how to ensure work is getting paid for appropriately.

At the conclusion of this program, participants will be able to:

  • Correctly code office visits and procedures during the global surgical package to avoid revenue loss
  • Accurately report E/M modifiers and surgical modifiers to get their claims through
  • Navigate bundled services and ensure their work is getting paid for when appropriate
  • Understand how surgical periods affect claims reporting

Agenda

  • Breaking down the complex rules that define how to code the complex global surgical period, including preoperative, day-of, and postoperative services
  • Enlightening examples that will help you understand how to report services during the global period in day-to-day practice
  • Avoiding revenue loss by understanding code bundles and the correct use of modifiers for both E/M and procedural services
  • Live Q&A

Who Should Listen?

  • Medical practice coders
  • Billers
  • Practice administrators
  • Compliance staff

Tools:

A checklist on modifiers -24, -25, and -57.

Filed Under: Uncategorized

Moneyball: CPT Coding Analysis (San Antonio)

From: September 16, 2017

To: September 16, 2017

AAFP FMX

aafp.org

Learning Objectives:
1. Explain the latest updates to billing and coding procedures.
2. Identify techniques to improve coding and billing practices.
3. Determine areas of opportunity for maximizing revenue.

1 CEU credit

Filed Under: Uncategorized

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“My organization approached Betsy Nicoletti because we had providers failing coding audits.

Betsy’s name is out there in the coding world as a leader in the field and wanted the best for our providers.

Betsy works with the organization to set up webinars for our new provider on boarding training process (which according to them has been most beneficial), as well as subsequent auditing to ensure provider engagement and understanding.

Betsy’s one on one approach has helped the organization overall by the specialized attention to our specific needs.

I appreciate Betsy’s tactful approach with the providers to lessen their concerns as it relates to proper coding. She is up to date on all of the current changes in coding and maintains the communication whenever warranted.

Overall I have found the experience of working with Betsy as positive and educational. I would not hesitate to recommend Betsy to any organization that needs to improve their coding practices and improve success rates from outside auditing.”

Julie D., LPN
Clinical Performance/Operations Manager

• Develop agenda with Betsy*
• Betsy will customize presentation and prepare learning materials
• 90 minute Zoom, live education session
• 30 days Q&A follow up
• Recording of session to show new hires
• Interactive: everyone hears the same thing and can ask questions

*Betsy’s area of expertise doesn’t include all procedural coding – email to set up a time to discuss your needs