Card image cap

Medical Coding and Billing 202

Level: Intermediate
Runtime: 91 minutes
Recorded Date: March 01, 2018
Click here to share this program
Printer-Friendly Version


12:00 pm - 1:30 pm
  • Understanding the CPT Book
  • Evaluation and Management coding guidelines
  • Local Coverage Determinations Presenting medical documentation in appeals
  • Applying documentation requirements in voluntary refunds
Runtime: 1 hour and 31 minutes
Recorded: March 1, 2018


What is a “chief complaint,” and how is it related to my client’s Medicare audit? Where do I find documentation guidelines for hyaluronan injections so I can figure out if my client should have been paid? What does complexity of medical decision-making involve, anyway?

Lawyers defending clients in payor audits or assisting clients with voluntary refunds need a practical understanding of the sources and substance of documentation guidelines for medical services. These documentation requirements are the building blocks of an audit defense, and are the key guidelines for determining whether a voluntary refund is required.

This program was recorded on March 1st, 2018.

Provided By

American Bar Association
Card image cap


Card image cap

Patrice Morin-Resch

Chief Operating Officer (COO)
Physicians Fee Analytics

Patrice Morin-Resch is an author, teacher, usual and customary fees analyst, and medical coding and reimbursement expert with over 30 years of experience.

Ms. Morin-Resch began her profession as an editor of the CPT book for the AMA and answered literally thousands of questions on medical coding and the proper use of the codes found in the CPT book. From there, her career advanced to teaching over 35,000 people both in private and open seminars through the DoD, various insurance companies (both health insurers and vehicle insurers), medical associations (e.g., Minnesota Medical, Texas Medical and Minnesota Hospital, ASOA), CPA firms, private practices and clinics as well as to publishing how-to books on medical coding.

Ms. Morin-Resch now maintains over 50 copyrights for books on medical coding. Her primary text, cp "Teach" Expert Coding Made Easy! has been awarded both the esteemed McGuffey (2011) and Texty (2013) awards through the Text and Academic Authors Association.

In 2012, Body Works, a book she co-authored with John Brady, M.D., Ph.D., was granted the prestigious Ben Franklin Award through the Independent Book Publishers Association.

As a distinguished author in her field, Ms. Morin-Resch was appointed to the TAA Council of Fellows, an honor held by fewer than 50 people worldwide. Because of the fact that Ms. Morin-Resch is primarily a teacher, she is skilled at breaking down the subject of coding in a way that makes it easy to comprehend. She has helped lawyers, doctors, jurors, and judges understand the CPT rules in such a way that they understand the facts of the case and are able to make sound decisions/rulings.

Ms. Morin-Resch maintains her CPC, CMCS, CHCI and CPMA* certifications through the AAPC and PAHCS and is an active member in both groups. She is fluent in both English and Spanish. (* The CPMA certification is held by only 3% of all members of the AAPC.)

Card image cap

Sean A. Timmons

Polsinelli, LLP

In order to craft an effective legal strategy to assist clients in reaching their business goals, Sean Timmons draws on a wealth of practical experience and solid understanding of the health care industry, coupled with a firm grasp of substantive law in this highly regulated environment.

Sean advises clients on complex regulatory issues including compliance with federal and state fraud and abuse laws and regulations. He has defended clients in Medicare and Medicaid administrative proceedings and has assisted clients in responding to and negotiating resolutions of government investigations into Medicare and Medicaid billing practices. He has commonly assisted clients on acquisitions and joint ventures involving healthcare entities, including advising clients on the application of the federal health care program’s anti-kickback statute and federal physician self-referral (or “Stark”) statute.

Card image cap

Similar Courses

Card image cap
74 minutes
Anatomy of a Pharmaceutical Bankruptcy Case
This panel will present a primer on the U.S. pharmaceutical industry, focusing on the typical capital structures of pharmaceutical/development companies versus in-pipeline companies. The panelists will examine the factors leading to the recent surge in pharmaceutical bankruptcy cases and their outcomes/resolutions, as well as ? 363 sales of pharmaceutical companies’ assets and restructurings. Opiate bankruptcy cases such as Purdue and Mallinckrodt will be highlighted, as will ancillary issues that arise in pharmaceutical bankruptcy cases, such as product recalls, regulatory issues (such as with the FDA) and IP licensing issues.

American Bankruptcy Institute


Add to Cart
Card image cap
76 minutes
But I’m Afraid of Needles: The Sale of Health Care Assets
This panel will discuss various issues and challenges accompanying sales of health care assets, including factors to consider in determining whether or not a sale is the best alternative. Such factors include the role of regulatory authorities, political challenges, reimbursement issues, issues related to urban vs. rural facilities, the evolution of the health care business, and best practices in navigating such challenges.

American Bankruptcy Institute


Add to Cart
Card image cap
86 minutes
COVID-19 Relief Funding & Reopening America: What's Really Happening in Congress
Please join a distinguished panel who will share their thoughts on how best to safely and gradually re-open business across America.

American Bankruptcy Institute


Add to Cart
Card image cap
56 minutes
Cutting-Edge Commercial Law/Regulatory Issues in Health Care Insolvencies
This panel will address issues that have recently arisen at the intersection of health care and commercial/regulatory law, including regulation and ownership of cloud-based/electronic records, state regulation of nonprofit debtors, and recent developments in Medicare/Medicaid recoupment rights.

American Bankruptcy Institute


Add to Cart
Previous Next