ASGE Annual GI Advanced Practice Provider Course (Virtual) - Onboarding (Day One) | March 2023-Questions and Answers: Session 4

Video Transcription

Video Summary

In this video, Jill, a coding and billing expert, answers various coding-related questions. She explains that coding to the highest specificity for certain conditions, such as IBS, does not necessarily result in higher reimbursement from Medicare Advantage plans. She also discusses the importance of coding common conditions like congestive heart failure and diabetes to ensure accurate risk adjustment scores. Jill clarifies that NPs and PAs do not have their own taxonomy codes, which can affect billing for services provided within a multi-specialty building. She advises communicating with the coding and billing department to ensure proper coding and billing for lengthy phone calls not related to telehealth visits. Regarding telehealth visits, she mentions that reimbursement may change after the public health emergency ends. Jill also emphasizes the importance of accurate coding and the potential for under coding to be considered fraud. The video also briefly touches on legal questions related to PAs practicing in New York State and the importance of collaborative relationships between providers. Finally, experimental voice recognition software and the publication of adenoma detection rates are mentioned as additional topics. No specific credits were mentioned in the transcript.

Keywords

coding and billing expert

Medicare Advantage plans

risk adjustment scores

taxonomy codes

telehealth visits