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Course description

 PM Trifecta Reimbursment Small BannerDesigned to increase your practice proficiencies in coding and reimbursement, the 2015 Gastroenterology coding Update course will instruct attendees on the essentials of medical coding, payer contracting, endoscopy billing, and other topics and issues related to GI physician practice management. This course will help endoscopists and their teams enhance their ability to manage their practice through accurate billing, coding, contracting, and revenue cycle management.

Learning objectives

Upon completion of this educational activity, participants will be able to:
  • Implement all CPT changes affecting gastroenterology practice in 2015. Participants will become familiar with all new, revised and deleted codes for 2015 and review questions from the 2014 code changes
  • Implement all gastroenterology-specific changes for the ICD-9 to ICD-10 transition, effective October 1, 2015
  • Discuss, evaluate, and analyze GI payer contracts. Participants will be able to evaluate payer rules, policies and obligations for their specific medical practice
  • Evaluate and resolve specific coding issues regarding GI practice such as colonoscopy screening coding issues, determining average-risk versus high-risk patients and screening versus diagnostic procedures, multiple endoscopy billing and other issues. 
  • Discuss emerging payment systems for physician medical practice and specifically for GI practice, such as Accountable Care Organizations (ACOs), bundled payment methodologies, reference pricing, subspecialty capitation, and other potential future payment systems that could replace the current fee-for-service model
  • Discuss and understand Recovery Audit Contractor (RAC) audits, Zone Program Integrity Contracts (ZPICs) audits, Office of the Inspector General (OIG), and other government sponsored billing and coding audit programs
  • Implement coding strategies for new and emergent GI technology. Participants will learn how to code for these technologies
  • Implement GI billing and coding procedures regarding ancillary practice such as pathology and anesthesia services, as well as new evaluation and management services, i.e. transitional care, chronic care coordination codes, telephone and online services, and nutritional services

Target audience

Practicing gastrointestinal endoscopists and surgeons, coding and billing professionals, practice managers, and practice professionals involved in the business management of a GI medical practice.
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Practical Solutions for the GI Practice