Description

This educational webinar is intended for Coders, Managers, Providers, as well as beginners and intermediate. Medical billing fraud is a significant challenge in the healthcare industry, leading to substantial financial losses and legal ramifications. Preventing such fraud through internal audits is a critical strategy that helps maintain the integrity of billing processes and ensures compliance with regulations. Internal audits are an essential tool in the proactive detection and prevention of medical billing fraud, helping healthcare organizations maintain financial integrity and trust with patients and payers. By performing regular internal audits, your organization can identify discrepancies and irregularities, ensure compliance and promote accuracy and accountability.

Learning Outcomes

• Apply new and revised CPT and HCPCS codes that impact urology coding and reporting.
• Identify proper modifier use in urology to support correct reimbursement and reduce denials.
• Understand parenthetical guidelines and instructional notes and how they affect code selection.
• Navigate specialty-specific urology updates and apply them confidently in daily coding scenarios.
• Interpret NCCI edits and modifier indicators to support accurate coding combinations.
• Recognize common modifier errors and reduce billing and compliance risk.
• Implement workflow improvements that support consistent coding and cleaner claim submission.
• Support compliance and audit readiness through accuracy, accountability, and proper documentation alignment.

Areas Covered in the Session

• CPT updates relevant to urology reporting and reimbursement
• HCPCS updates affecting claim submission and billing accuracy
• NCCI updates and how edits influence coding decisions
• Revised and deleted codes and how to adjust reporting appropriately
• Modifier best practices to improve coding accuracy and reduce denials
• Common urology modifier scenarios and frequent reporting challenges
• Internal audit strategies to detect inconsistencies and improve compliance
• Workflow and documentation alignment to support accountability and accuracy
• Live Q&A Session

Recommended Participants

• Coders (Beginner, Intermediate, and Advanced)
• Medical Billers
• Coding Auditors
• Coding Managers and Supervisors
• Revenue Cycle Teams
• Compliance and Risk Staff
• Providers and Clinical Leaders
• Residents and Fellows
• APPs (NPs and PAs)
• Practice Administrators
• Denials and Appeals Teams
• Charge Entry and Claims Processing Staff