The AAP Coding Webinar series feature pediatric-specific insights, tips, and strategies from today’s leading coding experts. These timely and practical sessions will provide answers to some of your most complex coding and billing challenges. Each 1-hour webinar will include time for questions and answers.
Webinars require a computer with an Internet connection and a current Internet browser and speakers. No dial-in number will be provided, therefore your computer must be equipped with speakers.
Webinar registration includes three months of access from the date of the live event.
- Faculty: Jeffrey Linzer Sr, MD, FAAP, FACEP | Price: $134.95
Archived event available until August 24, 2014
International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
will be implemented on October 1, 2015
and its applicable guidelines are the required diagnosis reporting code set for all health care providers and covered entities under the Health Insurance Portability and Accountability Act of 1996. It is vital that coders and physicians alike understand the changes because this will affect diagnosis reporting and health care quality metrics. Due to the increased specificity and ability to report the recurrence of a condition, not understanding how to properly use ICD-10-CM
codes could also affect referrals, procedures, and payment.
This webinar will:
Faculty: Jeffrey Linzer, Sr, MD, FAAP, FACEP
- Briefly explore the new ICD-10-CM code structure.
- Discuss specific ICD-10-CM guidelines that will affect pediatrics.
- Explore tabular sections to familiarize with the layout.
- Discuss differences in location of diagnoses and layout of chapters.
- And more!
Jeffrey Linzer, Sr, MD, FAAP, FACEP, is the associate medical director for compliance for the Emergency Pediatric Group/Division of Pediatric Emergency Medicine, Children’s Healthcare of Atlanta, and associate professor in the Departments of Pediatrics and Emergency Medicine at Emory University School of Medicine. Dr Linzer has been a member of the AAP since 1987 and is active in the AAP sections on Emergency Medicine and Transport Medicine. He is also a member of the AAP Committee on Coding and Nomenclature and serves as the AAP representative to the ICD-9-CM Editorial Advisory Board. Additionally, Dr Linzer has taken on the role as chair of the first ever pediatric topical advisory group (TAG) as ICD undergoes its 11th revision under the auspices of the World Health Organization. Dr Linzer is an expert in ICD guidelines and implementation and has been actively involved in the ICD-10-CM transition in the United States.
- Faculty: Jeffrey Linzer, Sr, MD, FAAP, FACEP| Price: $134.95
Archived event available until August 24, 2014
DescriptionInternational Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
will be implemented on October 1, 2014. ICD-10-CM
and its applicable guidelines are the required diagnosis reporting code set for all health care professionals and covered entities under the Health Insurance Portability and Accountability Act of 1996. It is vital that coders and physicians alike understand the changes in this code set because this will affect diagnosis reporting and health care quality metrics. While good documentation is important in any coding system, understanding how to properly use the increased specificity with ICD-10-CM
codes can help with referrals, procedures, and payment.
This webinar will
Faculty: Jeffrey Linzer Sr., MD, FAAP, FACEP
- Continue to discuss specific ICD-10-CM guidelines that will affect pediatrics, including coding in the perinatal period.
- Explore the specific pediatric codes that will experience significant changes from the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) to the ICD-10-CM code set, including otitis, asthma, injuries, and more.
- Discuss specific ICD-10-CM-related questions that came from the first part of this webinar.
- Review vignettes and proper ICD-10-CM coding.
- And more!
Jeffrey Linzer, Sr, MD, FAAP, FACEP, is the associate medical director for compliance for the Emergency Pediatric Group/Division of Pediatric Emergency Medicine, Children’s Healthcare of Atlanta, and associate professor in the Departments of Pediatrics and Emergency Medicine at Emory University School of Medicine. Dr Linzer has been a member of the American Academy of Pediatrics (AAP) since 1987 and is active in the AAP sections on Emergency Medicine and Transport Medicine. He is also a member of the AAP Committee on Coding and Nomenclature and serves as the AAP representative to the ICD-9-CM
Editorial Advisory Board. Additionally, Dr Linzer has taken on the role as chair of the first ever pediatric topical advisory group (TAG) as ICD
undergoes its 11th revision under the auspices of the World Health Organization. Dr Linzer is an expert in ICD guidelines and implementation and has been actively involved in the ICD-10-CM
transition in the United States.
- Date: May 6, 2014 | Faculty: David M. Kanter, MD, FAAP | Price: $134.95
Archived event available until August 6, 2014
Evaluation and management (E/M) services are the main revenue-generating source for primary care physicians. The Current Procedural Terminology
(CPT®) Editorial Advisory Panel and some payers are changing the landscape of E/M coding to place more emphasis on medical decision-making (MDM). As a result, MDM may be a required key component.
It is extremely important for physicians and their coding staff to understand E/M documentation guidelines and requirements for code levels, most importantly MDM. Over- and under-coding can be very costly to a practice.
This webinar will
Faculty: David Kanter, MD, FAAP
- Briefly review the Centers for Medicare & Medicaid Services E/M guidelines (1995 and 1997) and understand the main differences and which to use in your practice.
- Review the required key components to obtain specific inpatient and outpatient code levels.
- Review the 3 key components and understand the importance of MDM.
- Go over the new concept of patient presentation and how that term will replace presenting problem.
- Present common pediatric patient presentations (eg, otitis) and how different scenarios related to the problem are coded on the spectrum (eg, 99212 vs 99213).
- Go over some anticipated future changes to E/M coding.
- Understand time-based E/M coding.
- Learn how and when to apply prolonged services.
David Kanter, MD, FAAP, has been a Fellow of the AAP for 26 years. He is a neonatologist who provided medical directorship of a large neonatology practice in West Palm Beach, FL, for which he continues to provide clinical support. For the past 3 years, he has served as vice president of medical coding for Pediatrix Medical Group, a national medical group focused on multiple collaborative service lines including neonatology; pediatric hospitalist, developmental, emergency, and intensive care; pediatric surgery; maternal-fetal medicine; and pediatric cardiology. Representing the country’s largest practicing group of pediatric cardiologists, the Pediatrix national medical group of cardiologists provides a full spectrum of care including fetal assessment, interventional catheterization, echocardiography, cardiovascular monitoring and stress testing, adult congenital and heart transplant support, and preventive care. Dr Kanter is board certified in pediatrics and neonatal-perinatal medicine, holds an MBA from the University of Florida, is CPC certified, and is a member of the AAP Perinatal Coding Committee under the Section on Perinatal Pediatrics.
- Date: June 10, 2014 | Faculty: Karen Hardy, MD, FAAP and Burt Lesnick, MD, FAAP | Price: $134.95
Archived event available from June 11, 2014 – September 9, 2014
Coding for pediatric pulmonary services can be confusing. This webinar will help guide you through Current Procedural Terminology (CPT®) guidelines, which are often long and cumbersome to navigate. It is vital to understand the guidelines to code and bill correctly the first time to prevent denials from payers and a lengthy appeal process. This webinar is being presented by the American Academy of Pediatrics (AAP) Section on Pediatric Pulmonology and Sleep Medicine.
This webinar will detail
- Evaluation and management coding basics
- Overview of relevant modifiers
- Inpatient critical care sharing with colleagues
- Common pulmonary procedures (eg, bronchoscopy, ciliary biopsy, pulmonary function test, polysomnography)
- Disease-specific care (eg, asthma, cystic fibrosis, chronic lung disease of infancy and childhood, tracheostomy/ventilator management, sleep disorders)
- Outpatient care
- Home care services
- Care coordination services (eg, transition care management, complex care coordination, ventilator management)
- And more!
About the Presenters
Karen Ann Hardy, MD, FAAP, FACCP, has had a career as a pediatric pulmonologist and CEO and founder of a large private-practice pediatric pulmonary group surviving in the difficult financial climate of California as well as the United States. She served on national committees in health care policy for the American College of Chest Physicians. She has directed a fellowship in pediatric pulmonology for many years and particularly enjoys educating and lecturing to practitioners of this discipline.
Dr Hardy initiated the work to improve coding and billing in pediatric pulmonology, which is modeled after the very successful work within the AAP to improve coding and billing in neonatology. She has been a member of the Section on Pediatric Pulmonology and Sleep Medicine Executive Committee since 2007.
- Faculty: Jamie Calabrese, MD, CPC, FAAP | Price: $134.95
New Bright Futures guidelines have been released! Bright Futures is the gold standard for pediatric preventive medicine services and is now part of the Patient Protection and Affordable Care Act. Knowing which services can and cannot be reported separately from the preventive medicine service examination is vital for being paid appropriately for services rendered. It is also extremely important to understand how to code for each of the separately provided preventive medicine services as well as services provided on the same day that may be unrelated to the preventive medicine service.
This webinar will:
Faculty: Jamie Calabrese, MD, CPC, FAAP
- Provide an overview of the newly revised Bright Futures recommended preventive medicine services.
- Explain all of the separately reportable preventive medicine services done in addition to the examination, including age-appropriate screenings.
- Detail when it is appropriate and medically necessary to report a “sick” encounter in addition to a preventive medicine service.
- Explain how to report non-preventive procedures done on the same day as a preventive medicine service.
- Explore the Bright Futures coding interactive periodicity schedule.
- And more!
A Pittsburgh, PA, native, Jamie Calabrese, MD, CPC, FAAP, is a medical director with a top-ranked managed care organization that provides service to more than 300,000 of the state’s most vulnerable, at-risk citizens. Prior to joining the health plan, Dr Calabrese spent 12 years owning and operating a private pediatric practice whose focus was the care of children with special health care needs. She then served 4 years as the medical director for The Children’s Institute, a pediatric rehabilitation hospital in Pennsylvania. Most recently, she worked for 3 years for a private consulting company in Atlanta, GA, managing claims payment policies for health plans. She is a graduate of the University of Pittsburgh School of Medicine and did her pediatric residency training at Mercy Hospital in Pittsburgh.
Dr Calabrese is an active Fellow AAP and serves as the immediate past president of the Pennsylvania Chapter. She serves on the AAP Committee on Coding and Nomenclature and is a certified professional coder.
- Faculty: Joel Bradley, MD, FAAP | Price: $134.95
Pediatric encounters have become increasingly more complex and in order to relay that to payers, modifiers must be used appropriately to get paid for services rendered. Modifiers tell the payer that something out of the ordinary happened and you should be paid accordingly. In order to understand how to use modifiers appropriately, you not only have to understand CPT guidelines, but payer edits systems as well.
This webinar will:
- Provide you with the explanation of the most commonly used modifiers in pediatrics
- Provide examples of when it is appropriate to use these modifiers
- Discuss how payer’s edit systems effect the use of modifiers and how you are paid
- Explain in detail the NCCI edit system and how to properly navigate it to be paid appropriately
- And more
In addition this webinar highlights the NCCI edit process and how it impacts pediatrics. State Medicaid plans are now required to implement NCCI edits into their coding logic so it is imperative that your practice understand them.
Faculty: Joel Bradley, MD, FAAP
Dr. Bradley is a pediatrician and fellow of the American Academy of Pediatrics (FAAP). He spent many years in private practice and now works as a Medical Director for a State Managed Medicaid. He has been a member of the AAP’s Committee on Coding and Nomenclature (COCN) since 1995. Dr Bradley is the past editor of the AAP’s “Coding for Pediatrics” and “Pediatric Coding Newsletter” and currently sits on COCN’s Editorial Advisory Board for all coding resources.
He sat on the CPT Editorial Panel from 2004-2008 and is now the AAP’s representative to the RUC. Dr Bradley has given numerous coding presentations at the AAP’s National Conference and Exhibition and has always received exceptional marks.
AAP coding webinars do not currently offer continuing medical education (CME) credits for physicians. If you wish to suggest that CMEs be offered for our future webinars, please contact the AAP coding hotline email@example.com.
|This program has the prior approval of AAPC for 1.0 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.|
Each live and online archived webinar through February 2014 has prior approval of the American Academy of Professional Coders for 1.0 continuing education units. Granting of this approval in no way constitutes endorsement by AAPC of the publication, content, or publication sponsor.
- Faculty: Richard Lander, MD, FAAP | Price: $134.95
In an effort to control costs, third party payer claims processing and Special Investigative Units (SIU) are conducting audits of claims to prevent improper payments and overpayments. Pediatricians, practice management, and coding staff need to be prepared to protect the practice from payer audits as well as be able to challenge audit results. Otherwise, faced with unstable revenue, potential fines, and liability, the viability of the pediatric practice will be threatened. This webinar will provide guidance on ways to minimize the risk of a payer audit as well ways to effectively challenge payer audit results. By the end of the webinar, participants will:
Faculty: Richard Lander, MD, FAAP
- Apply key steps in responding to payer audits.
- Apply appropriate documentation.
- Learn how to include key provisions in contracts that protect the practice and define the scope of payer audits and follow up activities.
- Learn tips to minimize payer audits.
- Learn tips to implement internal audits.
Dr Lander is a managing partner in a four- person pediatric private practice in New Jersey. He attended the University of Cincinnati, received his M.D. from the Autonomous University of Guadalajara, Mexico, and completed his pediatric residency at the University of Medicine and Dentistry of New Jersey where he served as chief resident. He is currently a Clinical Professor of Pediatrics at UMDNJ.
As the President of the NJ-AAP Chapter, he initiated and remains as co-chair of the Pediatric Council that has met quarterly over the past five years with the medical directors who serve the New Jersey area. Nationally, Richard serves on the AAP Section on Administration and Practice Management (SOAPM) as immediate past chairperson, served on the Committee on Child Health Financing, and is SOAPM’s representative to the Private Payer Advocacy Advisory Committee (PPAAC). In addition, he represents the AAP on the MinuteClinic, Inc. quality advisory panel. Since 1989, he has been an AAP Regional CPT Trainer and has lectured on coding and practice management for the AAP, private enterprises, and Pediatric Residency Programs. He serves on and contributes to several coding newsletter editorial boards.
- Faculty: Kathleen Cain, MD, FAAP | Price: $134.95
Increasingly, payers will extrapolate alleged overpayments and demand across-the-board repayments, even for valid claims. Worse, carriers will reduce payments on future claims as a means of correcting alleged overpayments on past claims. Most repayment demands are based on carrier mis-interpretation of CPT and ICD guidelines. Pediatricians need to be prepared to challenge inappropriate repayment claims. Otherwise, faced with unstable revenue and disbursements, pediatric practices will not be able to maintain operations. Knowing correct coding and having documentation to support the case against repayment demands will protect and preserve practice revenue and diminish charges of fraudulent billing. This webinar will provide pediatricians and practice staff with the tools needed to effectively minimize the occurrence of repayment demands as well as challenge inappropriate repayment claims. By the end of the webinar, participants will:
Faculty: Kathleen Cain, MD, FAAP
- Apply key steps in responding to payer take-back demands.
- Use coding guidelines and documentation to build your case.
- Learn how to include key provisions in contracts that protect the practice and define the scope of take backs and repayments.
- Be aware of state regulations on repayments.
- Incorporating appropriate coding and documentation to minimize carrier take back demand.
Dr Cain is an entrepreneurial pediatrician who has built a thriving practice from the ground up. She learned business strategy and negotiation as a means of financial survival. For the last 6 years, she has been a member of the AAP Private Payer Advocacy Advisory Committee (PPAAC). Her interest in the management of a financially successful practice and her relationship and successes with managed care have afforded Dr Cain opportunities to be a leader and teach others that good business is good medicine. As a member of the PPAAC, she has had the opportunity to address many coding and payment concerns of pediatricians. She has lectured and written articles for the AAP on coding, Current Procedural Terminology, and the Resource-Based Relative Value Scale.
- Faculty: Richard Tuck, MD, FAAP| Price: $134.95
The make up of pediatric practices is evolving, thanks in part to the medical home concept. Care plan teams are dominating the world of primary care and physicians are not alone in caring for their patients. Many practices have added nurse practitioners, physician assistants, care coordinators and other non-physician providers to help with the work load that is associated with caring for chronically ill, complex patients. In order to provide quality, comprehensive care physicians must rely on other pediatric providers to assist in the care coordination. However, while this care model makes sense, often times it comes with little financial support.
This webinar will:
Faculty: Richard Tuck, MD, FAAP
- Explain the CPT term “Other Qualified Health Care Professional”.
- Discuss state scope of practice and how it impacts non-physician providers.
- Explain how to integrate non-physician providers into the practice.
- Address the confusing issue of “incident to” guidelines and challenges.
- Go over issues with payer credentialing and associated payment.
Dr Tuck is a practicing pediatrician in a Federally Qualified Health Center and Medical Director for an innovative Physician Hospital Organization. He was a member of the COCN from 1992 until June 2008. Dr Tuck was the first Academy representative to the RUC and, as such, a founding member of the RUC. Dr Tuck has given numerous coding presentations at the National Conference and Exhibition and has always received high marks. In addition, Dr Tuck has extensive national experience in teaching Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) coding to primary care physicians. Dr Tuck is also consulting editor for a well known pediatric coding newsletter.
- Faculty: Richard Molteni, MD, FAAP | Price: $134.95
Coding for neonatal services can be quite confusing. Guidelines within Current Procedural Terminology (CPT®) are long and cumbersome to navigate. It is vital to understand the guidelines to prevent denials from payers and a lengthy appeals process.
This webinar details coding for inpatient neonatal services, including:
- Delivery room care
- Normal newborn care
- Transfer of care
- When level of care changes (eg, normal to sick)
- When multiple physicians are present
- When multiple physicians encounter a patient on the same day
- And more!
Please Note: Digital Downloads of the AAP Pediatric Coding Webinars do not offer CEUs from the American Academy of Professional Coders.
Faculty: Richard Molteni, MD, FAAP
Richard Molteni, MD, FAAP, has had a career as a pediatrician, an academic neonatologist, and a physician executive in hospital administration. He is the former vice president and medical director of Seattle Children’s and former associate dean of the University of Washington and a professor of pediatrics. He continues to work part-time as a consultant for the Joint Commission Resources and Joint Commission International.
Dr Molteni was a charter member of the original American Academy of Pediatrics (AAP) Committee on Coding and Reimbursement (now Committee on Coding and Nomenclature [COCN]) and has been a member or consultant to the COCN throughout its existence. He was the first AAP pediatric member of the CPT Editorial Panel and an inaugural member of the CPT Assistant Board of Directors. He has authored chapters in the AAP Coding for Pediatrics manual and lectured widely in the areas of coding and payment.
Dr Molteni was past chairperson of the AAP Section on Perinatal Pediatrics (SOPPe) and long-standing member of the SOPPe Executive Committee, and a past member of the Committee on Fetus and Newborn. He is also currently a member of the Perinatal Pediatrics Speakers Bureau. He is a wealth of knowledge on CPT guidelines, particularly in the inpatient arena.