Billing & Coding

Billing & Coding Support for PECAA Members

Included in your monthly membership is PECAA's Billing & Coding Program, which helps Members to enhance their claim submission, coding and revenue cycle management to improve practice efficiency, profitability & compliance.

Billing:

  • Navigating the rules and regulations of Medicare and other payers
  • Applying payer policy and Local Coverage Determination (LCD) for successful claim submission
  • Understanding and evaluation of Insurance Plans
  • Effective claim follow-up and denial resolution

Coding:

  • Proper coding for profitability
  • Proper documentation for compliance
  • Coding according to payer policy
  • Understanding ICD-10

Revenue Cycle Management:

The Billing & Coding Program offers recommendation to achieve complete and predictable claim cycle management in these areas:

  • Insurance verification process
  • Patient revenue capture at the time of service
  • Optimizing the claim cycle workflow
  • Monitoring and managing accounts receivables
  • Managing aging patient balances

Questions:

For more information on the Billing & Coding program, or to schedule your personal consultation, please contact Teri at teri@pecaa.com or call the PECAA Office at 503.670.9200

Or, if you have a question, please complete our Billing & Coding Inquiry Form and Teri will reach out to you directly.

Meet Our Consultant:

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Teri Thurston, Billing & Coding Manager

PECAA’s Billing and Coding Manager Teri Thurston, has over twenty years experience in the Eye Care industry and has held various positions within the industry. Teri has over 10 years experience as the Billing Manager for a 10 location ophthalmology and optometry practice. She has extensive experience with all claim management processes and is knowledgeable in both medical and vision coding. She has implemented various billing workflows and technologies including several practice management conversions and a recent implementation of a paperless PM/EHR system. She has a solution-focused approach to change and devises billing processes that have sustainable outcomes. She is passionate about developing methods that increase time efficiencies and reduce costs. Her patient and kind approach to problem solving make her easy to work with and approachable.

Webinars & Resources

Revenue Cycle Management Part 2: Clearing Up Common Coding Confusion

Wednesday, May 31, 2017 | 11:00am – 12:00pm Pacific
Presented by: Teri Thurston, PECAA Billing & Coding Manager
WATCH RECORDING Password: Coding

Billing & Coding Guidelines

Reference Guide to Understanding Modifiers

 

Revenue Cycle Management Part 1: Understanding, Strategizing & Implementing

Tuesday, March 28, 2017 | 11:00am – 12:00pm Pacific
Presented by: Teri Thurston, PECAA Billing & Coding Manager
WATCH RECORDING *You will be asked to complete a short registration form to access the webinar recording. 

Different Types of Health Insurance Models

Sample Ins Verification Form

Insurance Verification Tips

Insurance Registration Tips

 

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