MentorHealth to organize webinar on “Carrier Specific Rules”

Released on: July 31, 2013, 6:09 am
Industry: Healthcare

LONDON, -- /EPR NETWORK/ -- MentorHealth, a leading provider of online training for the healthcare industry, is organizing a webinar on the topic, “Carrier Specific Rules” on August 8. Jeffrey Restuccio, the principal owner of, will be the speaker at this session.

This webinar will give participants an understanding of how to differentiate between different rules in the carrier plans offered by various carriers.
Medicare, Medicaid; Blue Cross/Blue Shield carriers are not the same in all the states. What is acceptable to one carrier is not acceptable to another. Most clinics are unaware of this and the impact and uncertainty these different plans can cause.

Very few consultants drive home this concept. The small differences from state to state and carrier to carrier escape even experienced coders and billers, who may have worked in the same city and state for most of their careers.

The speaker at this webinar, who has taught in over 45 states and has worked with over 450 national insurance carriers collecting data for a national hospital group; will offer proven tips and strategies to discern differences between these carriers and eliminate denials due to carrier-specific rules and guidelines.

This webinar will cover the following areas:
o Fundamentals of an Evaluation and Management Encounter
o Overview of the Medical Decision Making process and documentation Requirements
o The Marshfield Clinic Medical Decision Making Point system as adopted by Medicare Carriers and the OIG
o Apply the concepts learned to working case studies
o Why 99.9 percent of EMR software packages will up-code your encounter
o The importance of Medical Decision Making in 2010 due to Medicare's dis-allowance of the E & M Consultation Codes
o Specific documentation elements needed to quantify the level of MDM
o How to explain the MDM process without scaring the doctors with the complexity of the Point System
o Strategies on how to implement proper MDM documentation and coding in your clinic
o Internet and additional Resources Jeff will provide a thorough review of this process, using real-life examples

When: August 8, 10:00 AM PDT | 01:00 PM EDT

By whom:

Jeffrey Restuccio CPC, CPC-H, MBA, is the principal owner of and supervises chart audits, carrier denial analysis and all coding and billing training. Before forming his own company, Jeff spent 15 years working for Digital Equipment, CompuServe and A T & T.

Jeff has over 20 years of experience in providing a full range of services to health care providers. Jeff started his career selling and implementing computer-based medical software systems. He supervises training, conversion and quality control. Jeff has also assisted in medical practice software selection and implementation.

Other highlights of this profile include market research studies for minor emergency medical clinic placement and profitability analysis for a major hospital group. His technical knowledge is extensive. Jeff has a BA in Psychology from West Virginia University and an MBA from the University of Memphis.

For whom:

The webinar will benefit
o Billing Managers
o Billers
o Practice Managers
o Coders
o Coding Managers
o Providers

Duration: 90 minutes

To enroll for this webinar, contact
Ph: 800-385-1607
Fax: 302-288-6884

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