Navigate the complex world of colonoscopy coding with confidence. This comprehensive webinar covers critical updates for 2025, ensuring your practice maximizes reimbursements while maintaining compliance across Medicare and private payers.
What You'll Master
Coding Essentials:
- Differentiate between preventive vs. diagnostic colonoscopy procedures
- Master Medicare HCPCS codes (G0105, G0121, G0120, G0122)
- Navigate CPT codes for non-Medicare billing (45378-45398 series)
- Understand patient risk level impact on code selection
Billing & Compliance:
- Medicare vs. private insurer coverage criteria
- CMS compliance requirements and guidelines
- Proper documentation standards for audit protection
- Common denial reasons and prevention strategies
Key Topics Covered
Regulatory Updates:
- New age requirements and USPSTF screening recommendations
- Recent policy changes affecting reimbursement rates
- CMS guidelines for evaluation and management visits
Procedure Classifications:
- Screening, surveillance, diagnostic, and therapeutic colonoscopies
- Sigmoidoscopy vs. colonoscopy coding differences
- Moderate sedation requirements and coding
Advanced Coding Concepts:
- NCCI edits and Medicare coding policies
- Colonoscopy modifiers (33, 52, 53, PT)
- Decision trees for accurate code selection
- High-risk vs. average-risk patient classifications
Who Should Attend
- Medical Coders & Billers
- Practice Managers & Administrators
- Revenue Cycle Specialists
- Compliance Officers
- Gastroenterology Staff
- Healthcare Finance Professionals
Why Attend?
- Maximize Revenue: Optimize reimbursements through accurate coding
- Reduce Denials: Learn prevention strategies for common claim rejections
- Stay Compliant: Understand latest CMS requirements and guidelines
- Expert Guidance: Get practical tips from coding professionals
- Interactive Learning: Q&A session with real-world scenarios
Format
Recording and On Demand Webinar with downloadable resources.
