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What Code(s) Should I Use?: Case Study Coding Scenarios (0.1 CEUs)

Recorded On: 11/16/2016

What Code(s) Should I Use? Case Study Coding Scenarios (.1 CEUs)

Wednesday, November 16, 2016; 2:00 - 3:00 p.m. EST

Presenter: Alyssa Needleman, PhD

CEUs: .1

Duration: 1 hour

Instructional Level: Intermediate

Program Focus:
Knowledge and Skills

Learner Outcomes: Upon completion, each participant in the eAudiology Web seminar will be able to:

1. Determine most appropriate procedural codes (CPT, HCPCS) in typical and complex cases
2. Determine most appropriate diagnosis codes using ICD-10 in typical and complex cases
3. Identify when to use modifiers in conjunction with procedural codes


Description: Due to the nature and unpredictability of many clinical situations, coding can often be unclear, leading the provider to question the most appropriate code(s) to use for the appointment. Given the high degree of scrutiny on submitted claims and ever decreasing reimbursements, coding for accurate reimbursement is the most important tool in your practice toolbox. This presentation will review procedural codes, including Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers, and International Classification of Diseases (ICD-10) diagnosis codes. Through the use of case study scenarios, typical and complex clinical situations will be presented. Within each case scenario, we will work through potential coding options, with discussion of why certain codes might be inappropriate or incorrect, and make decisions on the best codes to use given the situation. This presentation will provide the learner with practical tools to avoiding pitfalls and errors in coding and claims submission and complying with legal and ethical guidelines, while maximizing reimbursement.

Alyssa Needleman, PhD

Nova Southeastern University

Alyssa Needleman, Ph.D., is the Clinical Director and an Associate Professor in the Department of Audiology, College of Health Care Sciences at Nova Southeastern University. She received her bachelor's degree from the University of Maryland, and earned her master's degree and doctorate at the University of Texas at Dallas, with her area of expertise in speech perception in individuals with hearing loss. Dr. Needleman is a fellow of the American Academy of Audiology, and is certified as an audiologist by the American Speech-Language-Hearing Association. Her responsibilities include management of clinical operations within the Nova Southeastern University Audiology Clinic, as well as coordination of internship and externship experiences, both within the Nova Southeastern University Audiology Clinic and at external clinical training facilities. She also teaches doctoral courses entitled Acoustics, Psychoacoustics & Speech Perception, Implantable Hearing Technologies, Diagnostics II: Site of Lesion Assessment, Coding & Reimbursement, and Practice Management. Prior to joining Nova Southeastern University, Dr. Needleman served in a variety of roles in academia, hospital administration and industry, and has extensive experience in the hearing aid industry, overseeing Product Research and Development, Quality Assurance, and Regulatory Affairs as well as education and training with major hearing aid manufacturers.

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