Insurance Coding: An Insider's Secrets

October 1 2005 Bharon Hoag
Insurance Coding: An Insider's Secrets
October 1 2005 Bharon Hoag

T ODAY S SliMINAR MARKCT IS FAR different than it was 10 years ago. Every time you turn around, there is another fax or letter telling you this seminar or group has what you need to make your practice bigger and better. Does it? Very seldom does a modern day seminar give you what you, the doc­tor, need to make your practice what it should be. Most of these seminars are too busy trying to get you to buy something or hire them for a ridicu­lous amount of money for a limited service. Does that sound familiar? That is the beauty of the "Chiropractic '06" seminar. You will he get/ing the leading experts in one location with nothing being pushed on you but knowledge. You can walk away with the fundamentals of a technique, the basics of nutrition or, for the business ones in the audience, a strong understanding of billing, coding and getting paid! Introduction Whether your practice is primarily Major Medical, Personal Injury, Workers Compensation, Medicare, Medicaid or a mix of all of them, I dare say your biggest problem is documentation. Over the years, I have not seen this problem get any better. 1 have seen a lot of consulting firms tell doctors to purchase all of these pieces of equipment that will fix their offices and get them paid, but I have never seen that work as prescribed. I am seeing more and more practices going to a cash basis to remedy the situation. Well, I have a revolutionary approach to this problem: Learn the rules and apply them I am a Certified Professional Coder and have been traveling the country for the last five years doing seminars and working in chiropractic offices. I have been in numerous chiropractic offices across the country and have heard more than a hundred times that, if I could make the documentation needs go away in the office, I would be worth my weight in gold; and I'm not a tiny guy! I am not going to say I can make them go away, but I can tell you how to keep them from being hurdles in your office. Over the last five years, I've been studying CPT coding, Case Management, Medicare guidelines, AM A guidelines, and CMS guidelines and, I can tell you, the key to documentation is knowing what is expected. It is not difficult to create a system that takes little to no time for you, the doctor, and yet gives you the coverage you need to have a long, profitable practice. Rules to consider At "Chiro "06," I will be teaching the power of Evaluation and Man­agement codes (exam codes). Did you know you should be using one of only four possible codes? Can you tell me, without a single bit of fear, that your documentation will support the level of E/M codes you bill? What is needed? What is the difference between a problem focused exam and an expanded problem focused exam? What drives the level of an E/M procedure? 1 will also be teaching you the power of proper coding as it relates to therapies. Do you know the difference between Modalities and Therapeutic Procedures? Do you realize that AMA has definitions for both and can destroy your medical necessity? If you do any therapies at all, you need to come and find out the right way to bill them and how they impact your overall case. 1 will be teaching you the art of documentation: what is needed in your SOAP notes and how to do them without taking forever. I'll also teach you how to generate a quality narrative report: What do the guides say is needed to prove medical necessity? Conclusion Now, is the time for you to become educated on how to implement proper documentation into your office! Join me at "Chiro "06" in Panama, February 12-15, 2006. Come be a part of something different, because different is what this profession needs!!!! Bhuron lloag. a Certified Professional Coder through the American Medical Association, launder and president of Hvhrid Management. Inc.. has spent the last 5 years traveling across the United States teaching chiro­practors proper coding and case management strategies. Visiting numerous chiropractic offices gives him a strong grasp of the challenges lacing the modern day chiropractic clinic. For more information, call 740-}98-36lI or visit www.hyhriilmanagenicnt.nci.\ Speaker At February 12-15.2006 PANAMA