decisionhealth Newsletters, Coder Pink Sheets - 2016 Issue 11 (November)
Harness 5 key takeaways from the 2016 Advanced Specialty Symposium
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Article Overview
This article summarizes major takeaways from the 2016 Advanced Specialty Coding, Compliance and Reimbursement Symposium. It is aimed at coding, billing, compliance, and revenue cycle professionals who want a broad view of audit trends, documentation concerns, preventive service denials, chronic care management reporting, and evolving Medicare behavioral health guidance. The discussion spans multiple specialties and highlights the general types of coding and reimbursement issues discussed at the event.
Why This Topic Matters
The piece helps readers gauge whether the symposium’s guidance may affect their specialty, compliance workflow, or Medicare billing practices. It is useful for teams tracking audit exposure, documentation demands, and new service opportunities across primary care and specialty settings.
Article Sections
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Stay sharp for year two of ICD-10
This section discusses ongoing ICD-10 focus, documentation specificity, and the broader impact of coding updates and reporting changes in the second year of the code set.
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Get ahead of the auditor’s scope
This section reviews audit-monitoring strategies, with emphasis on Medicare review activity and the role of carrier resources in identifying services under scrutiny.
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Prevent problems for preventive services
This section addresses denial concerns related to preventive screening claims and discusses Medicare coverage considerations for those services.
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Take advantage of billable services
This section covers chronic care management reporting and billing, including general workflow and documentation themes discussed at the symposium.
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Think about a behavioral health plan
This section focuses on behavioral health integration in medical settings and the expanding Medicare interest in related services and reporting options.
What You Will Learn
- How the symposium framed major coding and compliance concerns for multiple specialties
- Which general audit and documentation themes were emphasized for Medicare-focused practices
- What broad issues were raised around preventive services, chronic care management, and behavioral health billing
- How the article situates ICD-10 and other reporting updates in the context of year-two compliance planning
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Revenue cycle professionals
- Practice managers
- Physician office administrators
Codes Discussed
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