How does clinical work become a paycheck? This will be a brief overview of the Billing/Coding/Reimbursement process. Topics briefly covered will be the role of the RUC and ASCRS’s active participation, Conversion Factors, and various adjustments to the MPFS.
Why Should Colorectal Surgeons Care about Coding? Independent practitioners are fully at risk. Employed surgeons likely get part or all their compensation from RVUs. Inattention to coding nuances specific to CRS may result in lost income. Quality metrics also depend on accurate coding.
Reducing the Documentation Burden Most surgeons were trained to document to justify E/M codes. With newer time and complexity guidelines, much of the “fluff” can be removed from notes, saving time and improving utility. Operative notes must contain adequate documentation to justify modifiers or establish POS for SSI rates.
APPs in the Colorectal Practice Tips and tricks for adding APPs to your practice and accurately billing for their services.
Learning Objectives:
Upon completion of this activity, participants should be able to:
Explain the process by which clinical work becomes income to the surgeon's practice.
Identify the importance of accurate coding and the opportunities lost by inattention to this process.
Recognize documentation burden by recognizing what is required and what is not.
