Understanding Unique Private Payer Rules-Get the Leverage to Optimize Reimbursements

Event Information
Product Format
Prerecorded Event
Barbara J. Cobuzzi, MBA, CPC, CENTC, COC, CPC-P, CPC-I, CPCO, AAPC Fellow
60 Minute
Product Description

Don’t Let Lack of Understanding of Private Payer Rules Affect Your Practice’s Bottom Line

Your practice can suffer irrevocable losses in revenue without a thorough understanding of unique private payer rules. For practices it’s crucial to comprehend the disparity in reimbursement rules from payer to payer to optimize reimbursement compliantly.

Join Barbara J. Cobuzzi - MBA, CPC-OTO, CPC-H, CPC-P, CPC-I, CHCC in this 60-minute information packed session to understand how operative complications differ from payer to payer. Know the difference between incident-to for a Medicare patient and a non Medicare patient. Find out how are post operative complications coded and billed for Medicare patients versus non-Medicare patients. She will address what rules are required for proper claim submission and where to find those rules.

Here’s what you will learn:

  • An understanding of payer rules and where to find them
  • Manoeuvring third-party payer websites
  • Keeping track of requirements and rules for your practice
  • How to find, organize and use private payer information

Training highlights:

  • What are the rules? AMA/CMS/Private Payer
  • How to handle “incident to” for Medicare patients versus non-Medicare patients
  • Find out how operative complications differ from payer to payer
  • Review of real life scenarios and apply their results in your coding schedule

Who should attend

  • Physicians
  • Office Managers / Administrators
  • Billers
  • Coders



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About Our Speaker

Barbara J. Cobuzzi - Healthcare Compliance Training Expert

Barbara J. Cobuzzi owns CRN Healthcare Solutions which provides value added provider consulting services. She holds a B.S. in industrial engineering from Rensselaer Polytechnic Institute and an MBA from New York University. She holds certifications from the AAPC as a CPC (certified physician coder), COC (certified hospital outpatient coder), CPC-P (certified payer coder) a CPC-I (certified coding instructor) and a CPCO (certified professional compliance officer). She also holds...   More Info
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