Coding Insights: Tools to Achieve Coding Compliance and Optimal Reimbursement - On Demand Access

OMSs and their coding staff will learn the basic elements of CDT, CPT and ICD-10-CM coding systems and discover the relationship between coding and third-party reimbursement. Participants will be given the necessary tools to achieve coding compliance and attain optimal reimbursement while preventing fraud and abuse. This 90-minute webinar introduces important insurance policy language as well as examples of the most common coding errors by OMSs that invariably trigger audits or poor reimbursement through lack of documentation or misuse of modifiers.

Learning Objectives

At the conclusion of this program, participants should be able to:

  1. Examine code sets, including history, structure and coding guidelines.  
  2. Achieve compliance through appropriate documentation and identify common coding errors. 
  3. Analyze OMS-specific procedures and describe the relationship between coding and third-party reimbursement.  


An Internet-based CDE/CME Activity
Original Release Date: April 12, 2023
Expiration Date: April 12, 2026
Estimated time to complete this educational activity: 1.5 hours
Method of participation: Self-Study

Joshua Everts, DDS, MD, FACS

Joshua Everts, DDS, MD, FACS, received his training in oral and maxillofacial surgery at the University of Alabama at Birmingham. Dr. Everts has had an interest in coding since residency, when he completed the AAOMS coding and billing curriculum prior to graduating. He has since served on AAOMS's coding committees – including being the current chair on the Committee on Healthcare Policy, Coding and Reimbursement – where he assists in writing material for AAOMS Today, contributing to coding educational resources and proctoring coding courses. Dr. Everts also serves as liaison to the AMA's CPT Editorial Panel for review and modification of medical procedural coding. As a small business owner, Dr. Everts knows the importance of overhead and efficiency and the role coding and billing plays in his profitability.

Disclosure: No Relevant Conflict of Interest Disclosures were reported.

Adam Pitts, DDS, MD, FACS

Adam Pitts, DDS, MD, FACS, completed a general surgery internship after medical school and his surgical residency at Vanderbilt University Medical Center in Nashville, Tenn. He is actively involved in the AAOMS Committee on Healthcare Policy, Coding and Reimbursement and also is a diplomate of ABOMS. In 2015, Dr. Pitts became the president and owner of Oral Surgical Institute, where he practices all aspects of oral and maxillofacial surgery with an emphasis on facial cosmetic surgery. He participates on numerous committees in local hospitals as was selected as Chief of Oral and Maxillofacial Surgery at HCA/Tristar Centennial Medical Center in 2016. In an effort to address significant access-to-care issues within his state, Dr. Pitts obtained a Certificate of Need and now operates the only accredited ambulatory surgical center in Tennessee focused on providing oral and maxillofacial and pediatric dental care.

Disclosure: No Relevant Conflict of Interest Disclosures were reported.

Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.

ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

The American Association of Oral and Maxillofacial Surgeons designates this activity for 1.5 continuing education credit(s).

AGD - Accepted Program Provider
FAGD/MAGD Credit
11/1/22-12/31/26
Provider ID# 214680

The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Association of Oral and Maxillofacial Surgeons designates this internet-based enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Key:

Complete
Failed
Available
Locked
Faculty and Planner Disclosure
Pre-Quiz
5 Questions  |  1 attempt  |  0/5 points to pass
5 Questions  |  1 attempt  |  0/5 points to pass
Coding Insights: Tools to Achieve Coding Compliance and Optimal Reimbursement
Open to view video.
Open to view video.
Post-Quiz
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
Evaluation
11 Questions
Certificate
1.50 CDE/CME credits  |  Certificate available
1.50 CDE/CME credits  |  Certificate available