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Beyond Denials: Lab Coding and Reimbursement for Molecular Diagnostics


Course Description:

Are coding updates and billing regulations keeping your lab in non-payment limbo?  In order to ensure fair, accurate and prompt payment, it’s essential for lab managers to be up-to-date on coding rules and billing guidelines.

Handling thousands of claims requires careful management, systems and standards.  The billing process is complex and laden with regulatory pitfalls and legal landmines. Regulations are in constant flux and standards for government and commercial payers are varied and often mind-boggling.  

Let CCM and our coding expert(s) help you get up to speed on coding updates and billing guidelines.  In this indispensable audio conference you’ll learn best practices for designing a coding and billing system that works for your lab along with the knowledge you need to get claims paid quickly and accurately.

By the end of this 75 minute session, you’ll know:

  • The latest coding and reimbursement changes
  • How to create CPT coding for Molecular Infectious Disease
  • AMA CPT codes defined and unraveled
  • How to interpret and handle claim payments and denials
  • Tactics for handling medically unlikely edits (MUEs)
  • Compliant coding challenges specific to molecular and pathology services
  • Best practices for billing of molecular assays
  • Modifiers and how they affect component billing
  • Advice for handling Advance Beneficiary Notices (ABNs) and the Correct Coding Initiative (CCI)

Featured Faculty:

Safedin Sajo Beqaj, PhD, HCLD (ABB), Clinical Lab Consulting LLC.

Dr. Beqaj is a certified Molecular Pathologist and licensed as a Laboratory Director for Molecular Diagnostics by the State of Tennessee. He is a visiting professor at Tennessee State University where he lectures on Molecular Diagnostics. He is also an adjunct professor at Nashville State Community College in Nashville where he teaches Anatomy and Physiology.

Dr. Beqaj serves as a Scientific Director and co-principal investigator at the Treatment Center for Chronic Fatigue Syndrome, where he leads scientific research on chronic fatigue syndrome etiology and diagnosis. He is also an observer of the Subcommittee on Verification and Validation of Multiplex Nucleic Acid Assays for the Clinical Laboratory Standard Institute.

Jon Minken, GROUP MANAGER, HEALTH POLICY & REIMBURSEMENT

Jon A Minken, MS is Senior Manager of Reimbursement Planning at Beckman Coulter,
Inc. Jon is responsible for planning the Global Reimbursement Strategy for new Novel
Markers, including the tactics associated with implementing those strategies.
Prior to joining Beckman Coulter, Jon led Reimbursement Services for Ventana Medical
Systems where he built an effective customer-centric reimbursement group. Previous to
that he held reimbursement & health economic positions at pharma, clinical research,
consulting, and medical device companies including Amgen, Covance, and the Lash
Group.


Jon holds a master’s degree in Applied Health Economics and Health Finance and a
bachelor’s degree in political science from the University of Rochester, Rochester, NY.,
where he was a Johns C. Mansville Scholar.

MONEY-BACK GUARANTEE:

We're so confident you'll get what you want out of this conference that we'll refund every penny if you're not completely satisfied. No questions asked! It's 100% risk-free!

Pricing:

Item
CCM Preferred Customer Price
CD and Event Materials
$217.00

Unable to Attend?  Order the CD!
Your CD recording includes the complete audio conference presentation, audience Q&A and presentation materials.

Each CCM event presents a variety of information and is presented for each organization to develop its own approach and methodology.

Featured Faculty

Money-Back Guarantee

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