So much a part of coding from CPT is understanding the parenthetical that the AMA(American Medical Association) has added in the manual as guidelines in choosing the appropriate CPT code for a procedure or service.
There are tricks of the trade and coding concepts that are found in the CPT manual. There is also a wealth of information in the CPT manual to make coding easier. Assigning the appropriate code for a procedure or service ensures that the provider is reimbursed for his/her services appropriately.
CPT guidelines are the only standard coding guidelines nationally. The audience will review some common guidelines utilized throughout as well as some specific guidelines in different sections of CPT.
The CPT manual changes annually and while many reviews the actual code changes of the codes they use most frequently, the guidelines and coding aids found within the manual can be confusing.
In order to assign the proper code to a procedure or service, there has to be a general understanding of CPT or unintentional errors can be made. These errors may cause red flags which result in audits that create recoupment of payments from insurance carriers.
Attendees will walk away with a better understanding of how to use the CPT manual and not only assign the correct codes but maximize reimbursement by applying appropriate coding rules.
Senior Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She is a former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served on several other boards for the AAPC. She is also the founder of her local chapter of the AAPC. Her experience is primarily in the specialties of Orthopedics, Rheumatology, and Hematology/Oncology. She has been a speaker for many conferences, including the AAPC National Conferences and Workshops, Community Colleges, audio conferences, and Local Chapters. Lynn became a CPC in 1993, and a Certified Instructor in 2002, and a Certified Orthopedic Surgery Coder in 2009.