The rapid implementation of coding and billing requirements related to COVID-19 set the stage for confusion, potential fraud, and ultimately inaccurate data. With constant adjustments to guidelines, the level of confidence when assigning charges and modifiers has been compromised. Add to that, the Office of Inspector General (OIG) has implemented a coronavirus task force to ensure the 50 billion dollars provided to healthcare organizations and providers are used appropriately. Establishing a plan to address compliant coding, billing, and reimbursement of COVID-19 claims is essential to secure accurate payment and protect claims against rejections or a possible third-party audit review.
Healthcare organizations cannot financially afford the outcome of inaccurate claims submission from a net margin or compliance perspective.
During this RACmonitor webcast, revenue cycle experts Susan Gatehouse and Brenda Ray will help you to mitigate your organization's risk for possible perceived fraudulent billing by providing you with a thorough understanding of billing and charging and the industry guidelines for COVID-19 cases. You will gain an understanding of how to accurately charge COVID-19 related services and laboratory testing to reduce administrative and re-work costs during this time when resources are stretched. And, you will leave with a real plan to ensure proper claims submission and the required resources to do so.
Why This is Relevant:
The OIG has a directive to monitor the appropriate use of government funding provided to healthcare organizations for the coronavirus pandemic. As requirements for COVID-19 billing continue to evolve, ensuring information is accurate, and teams are working with up-to-date guidelines is essential for healthcare organizations to be confident with COVID-19 compliance and reimbursement.
- Thoroughly understand the various COVID-19 related services and laboratory codes
- Understand proper application of laboratory related modifiers, when appropriate
- Learn CPT® codes related to freestanding vs. provider-based labs
- Gain strategies for implementing a COVID-19 charging compliance plan
- Understand requirements for billing Telehealth as it relates to charging and modifier application
Who Should Attend:
Compliance and regulatory officers, managers, and directors; health information management managers, directors and professionals; laboratory billing staff; patient financial services staff; coding managers and directors; RAC audit coordinators; denials and appeals coordinators; C-suite executives; and attorneys.
CPT® is a registered trademark of the American Medical Association.