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Experts to discuss how to navigate complex coding, billing scenarios :

October 9, 2018

Editor's note:The 2018 AAP National Conference & Exhibition will take place from Nov. 2-6 in Orlando.

David M. Kanter, M.D., M.B.A., CPC, FAAP, and Linda Parsi, M.D., M.B.A., CPEDC, FAAP, will present “Advanced Coding: Moving Your Practice to the Next Level (A3034)” from 8:30-10 a.m. Monday, Nov. 5, in room W304EF of the convention center.

Dr. Kanter is chair of the AAP Committee on Coding and Nomenclature (COCN) and vice president, medical coding, MEDNAX Services Inc., National Medical Group, Palm Beach Gardens, Fla.

Dr. Parsi is a member of COCN and is in private practice in San Antonio, Texas. She also is adjunct professor at McGovern Medical School.

In the following Q&A, Dr. Kanter discusses session highlights and why pediatricians should attend.

Q: What are the key things you will be covering during the session?

A: Dr. Parsi and I will examine areas of coding and valuation that will be helpful for physicians in navigating complex coding and billing scenarios. For example, we will address the Medicare Physician Fee Schedule and the role it plays in relative value unit publication and physician payment especially as relates to non-Medicare payers.

We will discuss how the physician relates to nonphysician clinicians from the perspective of incident-to and billing. And we will review less familiar Current Procedural Terminology codes such as Prolonged services, Care Management services and troublesome modifiers such as 25, 59 and 76.

Q: How will you use the audience response system?

A: The audience response system gives Dr. Parsi and me the opportunity to pose questions to attendee physicians as means to introduce a new topic that will then be discussed in greater detail.

Q: Why you think coding is an important topic for pediatricians to learn more about?

A: Nationally standardized code sets are the means by which physicians communicate to payers in support of payment for services rendered to patients. Appropriate use of these codes increases the likelihood that physicians will be able to support their claims for payment.

Q: How did you get interested in coding? 

A: Supporting physicians in their use of standardized code sets offers a fascinating opportunity to collaborate with physicians in a wide spectrum of care settings and specialties to enhance their ability to appropriately use the code sets for the care they provide.

Q: What is the take-home message of the session?

A: Compliant and confident coding is within reach of all physicians.

Q: Is there anything else you would like to add?

A: The Committee on Coding and Nomenclature is but one example of how the Academy attracts national expertise committed to assist pediatricians in being professionally successful.

For more coverage of the 2018 AAP National Conference & Exhibition visit and follow @AAPNews on Twitter and Facebook.

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