Payer Enrollment: Cracking the Code to Master It Without the Wait
This educational webinar is intended for Coders, Managers, Providers, as well as beginners and intermediate. Medical billing fraud is a significant challenge in the healthcare industry, leading to substantial financial losses and legal ramifications. Preventing such fraud through internal audits is a critical strategy that helps maintain the integrity of billing processes and ensures compliance with regulations. Internal audits are an essential tool in the proactive detection and prevention of medical billing fraud, helping healthcare organizations maintain financial integrity and trust with patients and payers. By performing regular internal audits, your organization can identify discrepancies and irregularities, ensure compliance and promote accuracy and accountability.
Learning Objectives
Define and understand the purpose of CPT and HCPCS Modifiers
Identify commonly used modifiers in urology coding
Apply correct modifier usage
Ensure accurate documentation to support modifier use
Understand the difference of Informational vs Payment modifiers
Areas Covered in the Session
Explain how modifiers impact claim processing and reimbursement
Distinguish between informational and payment modifiers
Focus on modifiers under OIG
Demonstrate how improper use may result in denial
Live Q&A Session
Suggested Attendees
Physicians and Non-Physician Providers in Urology
Urologists
Medical Coders
Medical Billers
Auditor
Managers
Claims Adjusters
Medical Officers
Compliance Officers
Clinic Managers
Healthcare Administrators
Insurance Company Claims Reviewers
Insurance Payers
Payment Policymakers
Revenue Cycle and Reimbursement Staff
About the Presenter
Edna Maldonado, CPC, ACS-UR, is a Certified Professional Coder (CPC), Board of Medical Specialty Coding & Compliance (ACS-Urology) and AHIMA ICD-10-CM Trainer. Edna R. Maldonado, CPC, is a bilingual health care management professional that has specialized in urology coding, billing, and training for over 30 years. Her training skills are unmatched, and she has used them to train several coders new to urology to staff AUA’s Coding Hotline. She has also trained and prepared coders for the CPC coding examination. Her leadership extends beyond training, she has also assisted new coders with goal setting, and she has mentored several coders who have moved on to higher positions in urology coding.
Ms. Maldonado’s ambition and drive has elevated her to an expert level in the field of urology coding. She holds herself to the highest standards of professionalism and confidence. She is dedicated to representing her organization and herself in a stellar light by always providing superior results. She is currently the Chair for the Practice Administration Work Group (PAWG) for the AUA, serving as Co-Course Director for the two-day annual Coding Seminar held by the AUA. Ms. Maldonado is an AAPC Officer for her Local Chapter, Frederick, MD.
Ms. Maldonado’s career in urology began in 1990 at Florida Urology Partners (formerly known as Town & Country Urology) where she was hired to manage a busy urology practice by the original owner, Servando Sanchez, M.D. During her time there, Ms. Maldonado was an effective leader with creative skills in interpersonal communications, organizational techniques and problem solving that she used to motivate and to cultivate a diverse staff of eleven. Her time there prepared her for a great opportunity to relocate and join a premier urologic association, providing invaluable support to the urologic community-the American Urological Association (AUA).
Since joining the AUA in 2010, Ms. Maldonado has become a respected and renowned expert in the field of urology coding. She has developed a multitude of urology coding training materials and training techniques for teaching urology coding. As a urology coding trainer, Ms. Maldonado has developed, designed, and recorded content for urology coding CDs, webinars, and virtual training. As an instructor, Ms. Maldonado has been a lead faculty member for urology coding courses including 30 two-day coding seminars, 27 customized coding seminars and over6 conference coding courses.
Additional Information
System Requirement:
Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to hear clearly
Live Course Cancellation Policy: If for any reason Skillacquire need to cancel this program, Skillacquire will notify participants by email of the cancellation no less than 24 hours prior to the expected start time.
For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com