decisionhealth Newsletters, Part B News - 2016 Issue 10 (October)
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 relevant for coders, billers, compliance staff, and practice managers who want a high-level view of audit trends, Medicare reporting concerns, preventive service billing, chronic care management, and behavioral health coding topics discussed across several specialties.
Why This Topic Matters
The piece captures practical themes that can affect denial risk, audit preparedness, and revenue-cycle planning in specialty practices. It also points readers toward Medicare-related updates and service areas that may require workflow or documentation review.
Article Sections
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Coding
Introductory framing for the symposium recap and the broad set of specialty coding and reimbursement themes covered in the article.
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Stay sharp for year two of ICD-10
Discussion of ICD-10 transition issues, specificity, and updates affecting coding and compliance in the second year of the code set.
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Get ahead of the auditor’s scope
Overview of audit-awareness strategies, including Medicare oversight programs and how practices may monitor emerging review focus areas.
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Prevent problems for preventive services
Focus on denial concerns tied to preventive screening services and the Medicare-related topics associated with those claims.
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Take advantage of billable services
High-level review of chronic care management as a billable service area, including documentation and operational considerations.
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Think about a behavioral health plan
Coverage of behavioral health integration topics, related Medicare developments, and psychiatric service reporting considerations in primary care and specialty settings.
What You Will Learn
- How the symposium framed major coding and reimbursement priorities for specialty practices
- What broad audit-preparedness themes were emphasized for Medicare-related review activity
- Which service categories were discussed as common sources of denials or missed reporting opportunity
- How chronic care management and behavioral health topics fit into the broader revenue-cycle discussion
- Why ICD-10 and specialty-specific documentation topics remained important during the period discussed
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Revenue cycle professionals
- Practice managers
- Physician office administrators
Codes Discussed
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