Upcoming Webinar that many Obesity Physicians and Offices are Still Confused on How to Get Paid for their Obesity Services!
You Don’t Want to Miss this Webinar on Obesity Services Reimbursement
AUG 31, 2017 Thursday 2:00PM (EST)
JOIN THE WEBINAR RIGHT FROM YOUR OFFICE. NO TRAVEL OR HOTEL STAY REQUIRED.
What’s Inside the Webinar?
Getting Paid for Physician Obesity Services – August 31, 2017 at 2:00PM (EST) – 90 Minutes Live
“Obesity, a common and costly health issue, affects more than one-third of adults and 17 percent of youth in the United States. “ – Centers for Disease Control and Prevention
By the numbers, 78 million adults and 12 million children are obese—figures many regard as an epidemic. Being obese increases the risk for heart disease, stroke and type 2 diabetes—the first, fourth and seventh leading causes of death, respectively—and contributes to more than one in five cancer-related deaths. Obesity-related health care spending continues to grow, with researchers estimating medical costs at $147 billion annually, including $7 billion for Medicare prescription drugs.
The American Medical Association recognized obesity as a disease in 2013 and the American Academy of Pediatrics recommended obesity prevention, assessment and patient counseling in 2007.
Medicare first recognized obesity as a medical condition in 2004 and began covering interventions when scientific evidence demonstrated their effectiveness. In 2011, Medicare issued a Coverage Decision memorandum outlining requirements for intensive behavioral counseling and therapy for beneficiaries affected by obesity.
As of January 2012, Medicare and most private insurers cover obesity screening and behavioral counseling.
In addition, as of Jan.1, 2014, the ACA requires: No consumer cost- sharing. Most insurance plans in all 50 states are required to cover certain services with no cost-sharing, including obesity screening and counseling for all adults and children. This includes no annual deductible amount, no enrollee copayments or coinsurance.Premium surcharges for being obese are prohibited in most insurance policies in all 50 states, including those sold through exchanges.
- Apply Proper Billing and Coding for Behavioral Obesity Services
- Understand Comorbidity E/M with and Time-based Behavioral Counseling
- Describe Incident-to Physician’s Billing
- Describe the role of a Dietician or Nutritionist
- Understand different scenarios in the practice with Obesity Services (Face-to-Face Individual versus Group)
- Understand how to identify and bill for TeleHealth Medicine Encounter
- Describe the role of other Non-Physician Services (NP, PA)
- Understand the Medicare and Commercial Insurance Documentation, Determination and Utilization Guidelines
Who Should Attend this Webinar?
Primary Care Providers:
- General Practice
- Family Practice
- Internal Medicine
- Pediatric Medicine
- Geriatric Medicine
- Nurse Practitioner
- Physician Assistant
- Pain Management Physicians
- PM & R Physicians
- Bariatric Surgeons
The presenter will be discussing a lot of information to enhance your knowledge and skill:
Our Webinar Agenda:
- Maximize Reimbursement
- Increase Revenue
- Remain Compliant
- Is Practice Eligible to get Reimbursed for Obesity Services with Medicare?
- Exploring Medicare’s Guidelines for Behavioral Obesity Counseling Services
- Is Your Specialty Properly listed with your Contracted Payors?
- Primary Care Provider Setting versus Non-Primary Care Setting
- Obesity Screening
- Obesity Counseling
- Obesity Treatment
Operation, Cash Flow and Revenue Cycle:
- Out of Network
- In Network
- Patients Copays, Coinsurance and Deductible
- Cash-based Encounters
- Separate EIN / NPI or Company for Obesity Services Practice?
- Dealing with Benefits and Eligibility for Obesity Behavioral Counseling Services
- Eligible Places of Service
- 5As Approach Adopted by the U.S. Preventive Services Task Force (USPSTF)
- Procedural Coding for Behavioral Obesity Counseling Services
- Diagnosis Coding for Behavioral Obesity Services
Evaluation and Management Encounters with Comorbidity
- Patient with Preexisting Medical Problem (eg HTN, DM, etc)
- 50% of Time Spent for Behavioral Counseling services
Appropriate and Correct Coding
- ICD-10 Diagnosis Coding for Behavioral Obesity Counseling
- Procedural CPT Coding for Behavioral Obesity Counseling
- CCI Edits
- Preventive Medicine Services
- Proper Use of Modifiers for Obesity Services Encounter
- TeleHealth Medicine Encounters Billing
Medicare and Commercial Payers’ Guidelines
Ancillary Services Provider / Non-Physician Providers
- Nurse Practitioner
- Physician Assistant
- Registered Dietician
GET THE RECORDING AND MASTER OBESITY BILLING AND CODING!