Balance Billing, Out-of-network Surprises with Common Billing Errors

Course Description

It’s time to do the billing and we have all experienced it, many times, our physicians document everything the biller/ coder may need to get the billing coding done; however, it is sometimes hard to locate this documentation. When we have spent time on these records and are unsuccessful at locating the information, we will send a query. I will not embarrass anyone, just answer quietly to yourself or laugh.... how quick is your turnaround? If you can honestly answer less than 48 hours, we all want to work with your physicians!

In my experience as a biller, coder, auditor, and instructor, it was truly amazing to discover that many of these errors are right where they need to be. Just gotta be a detective! (Got your attention now, don't I?)

Learning Objectives

• Spot documentation and billing errors before they delay or reduce payment
• Trace missing information in records using simple, detective-style methods
• Understand why errors happen and how to correct them efficiently
• Use documentation clues to locate what’s needed without repeated queries
• Communicate findings clearly with clinical and billing teams
• Strengthen internal processes and education to prevent repeat mistakes
• Improve audit readiness and overall billing accuracy
• Build confidence in reviewing, correcting, and submitting cleaner claims

Areas Covered in the Session

• Reviewing radiology referrals and reports
• Reading notes from a previous visit and perhaps even farther back
• Reviewing check-in notes and phone call notes
• Reviewing previous visits, especially if for pregnancy
• Knowing when it is OK, after a diligent search, to overwrite with “no history noted”
• Reviewing lab results and diagnostic findings
• Checking medication lists for accurate documentation
• Verifying information in patient intake forms
• Live Q&A Session

Suggested Attendees

• Medical Billers, Coders, and Auditors
• Practice Managers and Office Administrators
• Compliance and Revenue Cycle Professionals
• Physicians, NPs, and PAs Involved in Documentation and Billing Review
• Clinical Documentation Improvement (CDI) and HIM Professionals
• Billing and Coding Trainers or Educators
• Claims Processing and Denial Management Teams
• Healthcare Consultants and Compliance Specialists
• Students and New Entrants in Medical Billing and Coding
• Anyone Involved in Improving Accuracy, Compliance, or Reimbursement Processes

About the Presenter

Alice Marie Reybitz is an RN in the State of Florida. She has been a Biller and Coder since 1998. She has worked undercover for the FBI in Medicare fraud. She has been a nursing and a coding instructor. She has spoken at AHIMA and AAPC symposiums and conferences. She has written several articles for professional coding journals. She just recently earned her Certified Death Doula Designation to assist Hospice patients and their families.

Additional Information:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to talk and hear clearly

Live Course Cancellation Policy: If for any reason Skillacquire need to cancel this program, Skillacquire will notify participants by email of the cancellation no less than 24 hours prior to the expected start time.

Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:

Toll-Free No: 1-302-444-0162

Email: care@skillacquire.com

Address:- 651 N. Broad Street, Suite 206, Middletown, DE 19709

Testimonials:

"This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course"

Melissa Preston, Health Information Management Staff"David Vaughn covered the material completely and I have a new understanding of when, where and why we need to use an ABN"

Sandie Fowler, Out of Network Billing Staff"Great presentation. Able to do during the day. Timing was great"

Tina Duffy, Compliance Officer

All tickets include recording of the event.