Alpha Coding Experts

New 🎙 Episode

Episode 72 will cover Medical Coding Pro-Tips for Navigating Obstetrics Coding and Reporting

1. Know the stages of maternity care
2. Know the trimesters of pregnancy
3. Understand the maternity OB package CPT codes
4. Know which services are bundled into global maternity care
5. Know which services are not included in global maternity care package
6. Understand the ICD-10-CM coding guidelines and rules for OB care
7. The coding rules change for twin and pregnancies involving multiples
8. Only report for the OB services rendered to the patient
9. OB documentation is different than any other specialty
10. Get plugged into the right OB resources

Medical Coding Pro-Tips for Navigating Obstetrics Coding and Reporting New 🎙 Episode Episode 72 will cover Medical Coding Pro-Tips for Navigating Obstetrics Coding and Reporting 1. Know the stages of maternity care 2. Know the trimesters of pregnancy 3. Understand the maternity OB package CPT codes 4. Know which services are bundled into global maternity care 5. Kno...

New 🎙 Episode

Episode 71 will cover Medical Coding Pro-Tips for Effective Project Management

1. Start with a mind-map
2. Identify the project requirements
3. Develop a customized action plan for each project
4. Define expectations for each project
5. Collaboration is a critical element
6. Anticipate challenges and risks
7. Create a feedback loop
8. Leverage project management technology
9. Test your deliverables
10. Reflect on what worked well and what can be better for future projects

Medical Coding Pro-Tips for Effective Project Management New 🎙 Episode Episode 71 will cover Medical Coding Pro-Tips for Effective Project Management 1. Start with a mind-map 2. Identify the project requirements 3. Develop a customized action plan for each project 4. Define expectations for each project 5. Collaboration is a critical element 6. Anticip...

New 🎙 Episode

In episode 70, we sit down with special guest Yesenia Servin, the Founder of YS Credentialing. Yesenia has over 20 years of experience in healthcare credentialing, payer contracting and enrollment. Yesenia shares her best Pro-Tips for Navigating Medical Credentialing.

Medical Coding Pro-Tips for Navigating Medical Credentialing New 🎙 Episode In episode 70, we sit down with special guest Yesenia Servin, the Founder of YS Credentialing. Yesenia has over 20 years of experience in healthcare credentialing, payer contracting and enrollment. Yesenia shares her best Pro-Tips for Navigating Medical Credentialing. ...

New 🎙 Episode

Episode 69 will cover Medical Coding Pro-Tips for Improving Your Work-Life Balance

1. Recognize the importance of balance
2. Calendar block for both work and life
3. Establish boundaries
4. The Pomodoro method works
5. Work smarter, not harder
6. Unplug from the world
7. Prioritize your health
8. Learn to say no and be guilt free about it
9. Everyone needs a break from the status quo
10. No one has a perfect work-life balance

Medical Coding Pro-Tips for Improving Your Work-Life Balance New 🎙 Episode Episode 69 will cover Medical Coding Pro-Tips for Improving Your Work-Life Balance 1. Recognize the importance of balance 2. Calendar block for both work and life 3. Establish boundaries 4. The Pomodoro method works 5. Work smarter, not harder 6. Unplug from the world 7. Prioritize ...

New 🎙 Episode

Episode 68 will cover Medical Coding Pro-Tips for Navigating Gender Dysphoria Coding and Reporting

1. Understand the clinical definition of Gender Dysphoria
2. Terminology matters
3. The Affordable Care Act transformed treatment for Gender Dysphoria Patients
4. Medical necessity trumps everything
5. Establish workflows and protocols for recording data for Gender Dysphoria Patients
6. Know the appropriate ICD-10-CM Codes for Gender Dysphoria Patients
7. Report appropriate comorbidities
8. Understand the most common services reported for Gender Dysphoria Patients
9. Know what procedures are considered cosmetic for Gender Dysphoria Patients
10. Append the KX Modifier when appropriate

Medical Coding Pro-Tips for Navigating Gender Dysphoria Coding and Reporting New 🎙 Episode Episode 68 will cover Medical Coding Pro-Tips for Navigating Gender Dysphoria Coding and Reporting 1. Understand the clinical definition of Gender Dysphoria 2. Terminology matters 3. The Affordable Care Act transformed treatment for Gender Dysphoria Patients 4. Medical ...

New 🎙 Episode available on all downloadable platforms

Episode 67 will cover Medical Coding Pro-Tips for Navigating Remote Patient Monitoring in 2021

1. Understand the goals of remote patient monitoring
2. Patient consent is required
3. RPM can be ordered and billed only by Physicians or NPPs
4. RPM is not exclusive to chronic care patients
5. There must be an established Patient-Physician/Provider relationship after the PHE expires
6. Biometric data transmission must be electronically collected
7. Know the RPM codes
8. Understand the interactive communication requirement
9. RPM Devices must meet the FDA’s definition of a medical device
10. RPM reporting should be patient-specific

Medical Coding Pro-Tips for Navigating Remote Patient Monitoring in 2021 New 🎙 Episode available on all downloadable platforms Episode 67 will cover Medical Coding Pro-Tips for Navigating Remote Patient Monitoring in 2021 1. Understand the goals of remote patient monitoring 2. Patient consent is required 3. RPM can be ordered and billed only by Physicians or NPPs 4. R...

New 🎙 Episode available on all downloadable platforms

Episode 66 will cover Medical Coding Pro-Tips for Mastering Physical Therapy Coding

1. Everything starts with the PT evaluation
2. Know the difference between time-based PT codes and service-based PT codes
3. Understand the 8-minute rule
4. Pay close attention to units for each CPT Code
5. Direct patient contact is required for one-on-one services
6. Be mindful of PT supervision requirements
7. Leverage technology with built-in PT billing calculations
8. Take note of the TelePT rule changes and expansion during the PHE
9. Verify payer policies on PT
10. Routine audits and education are a non-negotiable

Medical Coding Pro-Tips for Mastering Physical Therapy Coding New 🎙 Episode available on all downloadable platforms Episode 66 will cover Medical Coding Pro-Tips for Mastering Physical Therapy Coding 1. Everything starts with the PT evaluation 2. Know the difference between time-based PT codes and service-based PT codes 3. Understand the 8-minute rule 4. Pa...

New 🎙 Episode available on all downloadable platforms

Episode 65 will cover Medical Coding Pro-Tips for Navigating Medical Scribe Compliance

1. Understand the Medical Scribe’s role
2. Medical Scribes are not required to be licensed
3. Know the Joint Commission standards
4. Medical Scribes are not exclusive to Doctors
5. Medical Scribes do not require an employment relationship with the Practitioner
6. Medical Scribes require training and must comply with the same regulatory requirements as other personnel
7. Strong Attestations are key for compliance
8. Medical Scribes are not qualified to function as Medical Coders
9. You cannot bill separately for the Scribe’s time
10. Oversight and auditing protocols are crucial for compliance

Medical Coding Pro-Tips for Navigating Medical Scribe Compliance New 🎙 Episode available on all downloadable platforms Episode 65 will cover Medical Coding Pro-Tips for Navigating Medical Scribe Compliance 1. Understand the Medical Scribe’s role 2. Medical Scribes are not required to be licensed 3. Know the Joint Commission standards 4. Medical Scribes are n...

New 🎙 Episode available on all downloadable platforms

Episode 64 will cover Medical Coding Pro-Tips for Effectively Managing Down

1. Get to know every member of your team
2. Set clear expectations and deadlines
3. Create an environment that enables growth
4. Give credit where credit is due
5. Encourage autonomy
6. Establish a consistent feedback loop
7. Make yourself accessible and available to your team
8. Leaders should speak last
9. Communicate the vision
10. The best Leaders serve others

Medical Coding Pro-Tips for Effectively Managing Down New 🎙 Episode available on all downloadable platforms Episode 64 will cover Medical Coding Pro-Tips for Effectively Managing Down 1. Get to know every member of your team 2. Set clear expectations and deadlines 3. Create an environment that enables growth 4. Give credit where credit is due 5. Enc...

New 🎙 Episode available on all downloadable platforms

Episode 63 will cover Medical Coding Pro-Tips for Minimizing Revenue Leakage

1. Make sure all Provider credentialing is accurate and up to date
2. Review Payer contracts at least once per year
3. Ensure accurate Patient data capture
4. Establish robust Patient eligibility, prior-authorization, and collections workflows and processes
5. Let Coders be the CODERS
6. Let Billers be the BILLERS
7. Invest in regular, ongoing staff training
8. Keep your Providers involved, engaged, and invested
9. Quality Payment Programs (QPP) should not be ignored
10. Recognize the only constant in healthcare is change

Medical Coding Pro-Tips for Minimizing Revenue Leakage New 🎙 Episode available on all downloadable platforms Episode 63 will cover Medical Coding Pro-Tips for Minimizing Revenue Leakage 1. Make sure all Provider credentialing is accurate and up to date 2. Review Payer contracts at least once per year 3. Ensure accurate Patient data capture 4. Establi...

New 🎙 Episode available on all downloadable platforms

In episode 62, we sit down with special guest Rozmin Bapat, President at CodeRite Healthcare Consulting, a medical billing and healthcare consulting company. Rozmin is known as an RCM Champion and shares her best Pro-Tips for Streamlining Your Revenue Cycle Management.

Medical Coding Pro-Tips for Streamlining Your Revenue Cycle Management (RCM) New 🎙 Episode available on all downloadable platforms In episode 62, we sit down with special guest Rozmin Bapat, President at CodeRite Healthcare Consulting, a medical billing and healthcare consulting company. Rozmin is known as an RCM Champion and shares her best Pro-Tips for Streamlining Your...

New 🎙 Episode available on all downloadable platforms

In episode 61, we sit down with special guest Karen Weintraub, MA, AHFI, CPC-P, CPMA - Executive Vice President at Healthcare Fraud Shield a software provider specializing in fraud, waste, and abuse detection. Karen shares her best Pro-Tips for Leveraging Data Analytics to Combat Fraud, Waste, and Abuse (FWA)

Medical Coding Pro-Tips for Leveraging Data Analytics to Combat Fraud, Waste, and Abuse (FWA) New 🎙 Episode available on all downloadable platforms In episode 61, we sit down with special guest Karen Weintraub, Executive Vice President at Healthcare Fraud Shield a software provider specializing in fraud, waste, and abuse detection. Karen shares her best Pro-Tips for Leveraging Data Analyt...