While the information contained in an operative report may not be relative to all that utilize it, having a clear understanding of its contents, medical terminology, and identifying parts will allow billing and coding staff to efficiently use the operative report for the purposes of billing, coding, and compliance.
The operative report is used by billing and coding staff to assign the appropriate diagnoses codes, CPT® codes, and modifiers. It is critical that it contains all the information needed to assign the code that describes the procedure most specifically.
Participants will learn:
CPC, CPB, CPMA, CPC-I, CPPM, COSC
Lynn is the Sr. Coding Educator for Healthcare Information Services, a revenue cycle management and consulting service in the Chicagoland area. Prior to relocating to Chicago, Lynn was the Billing Office Manager and surgical coder for Hand Surgery Associates, now Michigan Surgery Specialists in the Detroit Area. She has over 39 years of experience in all areas of the physician practice including Practice Administrator, Billing Manager, and Director of Operations. Her experience is primarily in the specialties of Orthopaedics, Rheumatology, and Hematology/Oncology. She has been a speaker for many conferences, including the AAPC National Conferences and Workshops, Community Colleges, Audio Conferences, Certification classes, and Webinars. Lynn became a CPC in 1993, a Certified Instructor in 2002, a Certified Orthopedic Surgery Coder in 2009, an examination in which she participated in creating. She passed the Certified Practice Manager exam in 2015, the Certified Medical Auditor exam in 2016, and the Certified Professional Biller exam in 2021. Lynn is the founder of the first local chapter of the AAPC in Chicago, which is now 25 years old, and a former member of the AAPC National Advisory Board as well as several other committees for the AAPC.
Understanding the components of the operative report, how to use the procedures performed as a guide, and the documentation required for assistants at surgery is imperative for proper billing, coding, and compliance.
No prerequisites required.
The operative report is used by billing and coding staff to assign the appropriate diagnoses codes, CPT® codes, and modifiers. CPT code descriptions can be different by only one word, so it is critical that the operative report contains all the information needed to assign the code that describes the procedure most specifically.
Modifiers are addressed in this session as they are used to share distinct information that would otherwise not be documented on the claim form. They also describe relationships between other procedure codes and other surgical sessions for the patient. Because the operative report is a written document of what was performed for a surgery, it can also assist to not only clarify, but also to prove what procedure(s) were performed.
Self-paced online program includes unlimited review of previously recorded instruction and the downloadable PowerPoint handout for 6 months.
Comments from past participants:
"Provides great information and supports our continuous learning process."
"Very informative. It teaches you what is required on an Operative Report needed for billing purposes."
"Excellent content & instruction. Great updates."