Steps to getting fully paid — and keeping your payments
Across the country, sleep study providers are asking the same question: "Why aren't we receiving full payment for services rendered?" For many other facilities, audits have resulted in costly takebacks and penalties. A lot can go wrong, from insufficient documentation to inaccurate coding.
In just one hour, this new MedLearn Publishing webcast will teach you how to avoid the common "revenue landmines" that prevent your organization from deriving the optimal financial outcome from polysomnography (PSG) and other sleep study procedures.
What's on the agenda:
- How current trends affect documentation, coding and billing, including the expanded use of portable monitors in home-based testing vs. the gold standard of overnight type 1 PSG for obstructive sleep apnea (OSA)
- Frequently found weaknesses in medical records documentation, physician orders and medical necessity validation
- Documentation components needed to support diagnosis coding and payments for procedures
- Appropriate use of prior authorization vs. advance beneficiary notice
- Clarification of the CPT® and ICD-10-CM coding guidelines that support compliant billing
- Update on the credentialing requirements for hospital-based sleep laboratories
- The latest findings on audit initiatives (SMRC, RACs, ZPICs and OIG) and action steps to ensure compliance
- Time permitting, answers to attendee questions
Who Should Attend:
Respiratory therapy staff, polysomnography technologists, pulmonology staff, billing staff, compliance staff and revenue integrity staff.
CPT® is a registered trademark of the American Medical Association.