Healthcare Crossroads

A podcast showcasing the connections in Healthcare Data, Compliance and Patient Care

Radiology Reimbursement: Documentation and Modifiers

Today we will discuss the various guidelines for reporting diagnostic services, Radiology Documentation requirements and Common Modifiers

Objective:

Section IV of the Official ICD10-CM Guidelines

CMS IOM 100 Guidelines for Documentation

LCD Policies

Data Component of E/M Services Review

To earn a CEU for this Episode you must be a member of the Patreon Squad. You can join our Basic, All access or VIP memberships and get your Annual CEUS by listening to the show

Please see these helpful links mentioned in the podcast:

Breast Imaging LCD

Medicare Claim Processing Manual

2021 E/M Guidelines

Check out Ozark Institute Powered by Oncospark

Get CEUS for todays episode by becoming a Patreon

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Navigating the Credentialing Maze

Today we discuss the Maze of Provider Credentialing and Important reasons to Credential your Facility and Provider with an Insurance company.

Objective:

Using PECOS and CAQH

Importance of Payer Contract Negotiations

Updating Provider Enrollment

Inhouse or Outsourcing

Please see these helpful links mentioned in the podcast:

PECOS Enrollment Checklist

CAQH Proview Resources

UHC Credentialing Information

Understand No Surprise Billing

Is Balance Billing Legal?

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Know your EOB and Denial Codes

Do you struggle with EOB Language and Denial Codes? Do you know how to understand the NCCI Manual or how to use an Encoder? All of these things are crucial to understand as a coder or a biller. If you are a Office Manager or Physician you will also enjoy listening. Reach out to us if your clinic would like to look at our Data Analytic tools to streamline for practice flow and maximize payment

  • EOB Breakdown
  • Common Denial Codes
  • Reviewing the NCCI Manual
  • Be encoder Savvy

Learn from Industry leaders at our 2022 Virtual Conferences

Feb 12,2022 we come together with Experts Shannon Deconda CPC, CPC-I, CPMA, CEMC, CEMA, CMPM, CRTT and Betty Hovey BSHAM CCS-P IP CPC COC CPMA CPCD CPB CPC-I as we learn more about the Reimbursement challenges for OBGYN Services

Visit www.OBGYNsummit.com and check out our Upcoming events on Eventbrite

Earn a CEU if you are an All Access or VIP member at www.patreon.com/lifeasacoder

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The Anatomy of the Medical Coding Career

Today I will be talking about my career path and how to navigate your career path in a similar way. I give you my take on the main Coding Certifying Industries AAPC® and AHIMA®. I am certified in both and I love them both for what they offer to help coders and billers. Lets discuss:

Options for CPC-A
CPC or CCS?
Other Career Options
Technology and Coders
Maintaining a positive attitude

To obtain a CEU for this episode please join our Patreon squad at www.patreon.com/lifeasacoder
Check out our upcoming Conferences at Eventbrite
Visit our website to sign up for our CPC Course starting 1/3/22 at www.cpccoder.org

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Bonus: Maternity Global Billing and Anesthesia

Listen to our Bonus Episode of Life as a Coder featuring the one and only Kimberly Jolivette Williams CPC CPB CPMA CANPC CCC CEMC as we discuss Maternity Billing and Anesthesia.

There will be 1 CEU available for All Access and VIP Patreon Squad members. Join at www.patreon.com/lifeasacoder

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Interview with Tech Giant Bettina Hein

Join me as I Interview Bettina Hein.
Bettina Hein is a serial software entrepreneur that has built technology companies in both Europe and the United States. She is most recently the founder of digital health startup juli, her third software company. She is also the founder of Pixability, a video advertising company in Boston. Prior to Pixability, Bettina co-founded SVOX, the Swiss-based speech technology company which was acquired by Nuance Communications (NUAN) for $125 million. Bettina has received numerous awards and recognitions such as the 2018 Immigrant Entrepreneur of the Year Award, World Economic Forum Young Global Leader, L’Oreal NEXT Generation Award, and The Boston Business Journal’s “40 Under 40 Award.” Bettina holds an MS degree from MIT, a law degree from the University of Constance, and a business degree from the University of St. Gallen. Bettina holds two software patents and is the co-author of Video Marketing for Dummies. She is also a “shark” on the Swiss version of Shark Tank called “Höhle der Löwen Schweiz.” https://www.juli.co/

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