Friday: Successful Surgical Coding and Compliance

Who should attend?

Team attendance produces the biggest “bang” in terms of results!

Attendance on Thursday covers the key coding concepts and focuses on E & M as well as diagnosis coding.

What is covered?

New in 2011

What is sentinel lymph mapping and when is it reported?
Fundoplasty with paraesophageal hiatal hernia using various approaches
When do you report a colonoscopy code with or without modifier 53?
Endovascular Procedures making the transition from component coding to bundled service reporting
Big changes in debridement, active wound management, and skin replacement coding

Surgical Case Coding

What must be in your operative notes if you are operating with an assistant or co-surgeon
Expanded session on coding for lesions, lipomas, and pilonidal cysts
Breast Coding: Excisional breast biopsy or partial mastectomy
Coding for component separation release
When and how to report E&M services for major and minor procedures, especially trauma

Modifiers Made Understandable

When we explain modifiers you’ll see the nuanced differences and leave knowing when to use each modifier appropriately.
Use of modifier 58 in wound care, lesion excision, and breast and colon surgery

Learning Objectives

As a result of this course participants will:

List services included in the "global surgical package"
Use at least six surgical modifiers correctly
Understand the difference between returning a patient to treat a surgical complication vs. a staged procedure
Correctly document and report procedures that are unrelated to surgeries done previously when you are in the "global period"
Initiate a successful appeal when you are paid incorrectly
Review the key components of the operative notes for coding, documentation, and appeal

Revised November 16, 2011