Pathology coding and billing rules can be confusing and tedious to understand. Pathology services play a major role in the diagnosis and management of many common medical conditions. It is imperative that proper coding and billing practices be followed to ensure your organization receives appropriate reimbursement and maintains compliance with healthcare regulatory requirements. Pathology services from a billing and coding perspective fall into 4 main categories: Surgical Pathology, Cytopathology, Molecular Pathology, and Anatomic Pathology Consultations. In today’s session, we take a deeper dive into the current pathology coding and billing updates, discuss the proper application of the 2024 code set for pathology services, clinical documentation requirements for pathology services, and common pathology clinical documentation scenarios to code and bill for to gain real-world insights and context for the pathology billing and coding rules.
Toni Elhoms is an internationally known speaker and recognized subject matter expert on medical coding, reimbursement, compliance, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC (ACE). She holds multiple credentials with the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). Ms. Elhoms’ expertise extends to both inpatient and outpatient coding, compliance, billing, and reimbursement. Ms. Elhoms serves as ACE’s Senior Consultant and conducts training and educational seminars across the country on a variety of topics including, but…