Absolutely 🔥🔥coding discussion that will improve $ & efficiency. Marianne Desciose interview

Marianne Desciose, Billing Director for PRS Network, also known as "The Painters", discusses numerous billing and coding issues to maximize urology medical coding and billing efficiency, avoid financial losses, so practices will remain sustainable. She has worked side-by-side with Mark Painter since 2008.
Some of the topics discussed:
📌G2211: which payers aside from Medicare and Replacement plans are paying (Aetna, Humana, UHC, BCBS); what she sees with retroactive claims; posting issues; denials / write offs and subsequent payment; private payer billing practices; modifier needed for some payers (Humana PPO); probing with G2211 with private payers, documentation requirements; amount paid by insurance companies, amount received by practices just in the first 2 months; risks of misuse / abuse; claw backs; utilization frequency; anticipated % usage; CIGNA & Tricare issues; billing frequency limits; AUA Coding Plus.
📌99459 [pelvic examination]: how to apply / use; modifier; chaperone; speculum.
📌Front desk protocols
📌Claims appeals
📌Audience questions and answers: 51798 and E&M; modifiers; NCCI; collection / billing workflow, protocols; eligibility; ERAs and blindly accepting what insurances pay; auto posting issues; the 4 Ds of insurance companies; appeals; copays, coinsurance, deductible; pre-determination and prior authorizations; timely filing for denials and initial claims; TURBT and kidney stone surgery authorizations; revenue cycle management; proper management of Medicare (dis)Advantage / Replacement plans; "copay" with traditional Medicare; telemedicine across state lines.
Marianne Desciose: [e-mail]
PRS Network:
www.PRSNetwork.com
Urology Advanced Coding and Reimbursement Seminar:
www.prsnetwork.com/uacrs
The Thriving Urology Practice Facebook Group:
/ thrivingpractice
Dr. Lin practices at Sunrise Urology in Gilbert, Arizona:
www.SunriseUrology.com
#Coding #Urology #Interview