Wednesday, June 20 | 8:30-9:45 AM
Level: Basic
Recommended Prerequisite: None
Field of Study: Specialized Knowledge
Those working in the health care field or health care professionals must understand the basics of forensic medical coding and billing, but not necessarily become a Certified Professional Coder. This session will discuss the various types of medical coding (CPT, ICD 10, HCPCS, HCC) and give you tips to gain more insight into forensic medical coding and billing. This session will look at commonly misused codes and point you to hot areas to review.
You Will Learn How To:
- Compare CPT, ICD 10 and HCPCS codes
- Recognize a CMS 1500 billing form and where the CPT, HCPCS and ICD 10 codes are placed
- Recognize codes that are abused and fraudulently billed using recent cases
- Determine how legal teams can locate forensic medical coders and biller experts
Jacqueline Bloink, CFE, RHIA, CHCA
Consultant, Jacqueline Bloink LLC
Jacqueline Nash Bloink has worked in the health care industry since the mid-1990s in such roles as practice administrator, coding manager, auditor, instructor/instructional designer and director of compliance. Her passion is health care compliance and fighting health care fraud. Bloink is a published author and national speaker on the topic of health care compliance and health care fraud. Bloink is currently an adjunct Professor for the University of Arizona and a consultant who specializes in assisting businesses, organizations and legal teams with various projects that involve provider education, health care coding, compliance or fraud.
Jerri Rowe
Medical Auditor/Consultant, Jerri Rowe LLC
Jerri Rowe has been in the health care industry for more than 25 years. She has extensive managerial experience in both the administrative and clinical arenas with an emphasis on medical coding and billing. Her proficiency includes operation of various facilities to include a multispecialty physician group practice, an outpatient diagnostic center, urgent care and clinical department in a medical school.
Rowe is also an educator and currently teaches medical billing and coding online to those entering the field. As an ethicist she emphasizes the importance of ethical behavior for all health care professionals, especially during this time of rampant fraud and abuse. Rowe also serves as a consultant to physician practices in auditing of documentation for reimbursement purposes in an effort to educate, identify and prevent fraud.