David M. Kanter, M.D., M.B.A., CPC, FAAP, and Linda Parsi, M.D., M.B.A., CPEDC, FAAP,
will present “Advanced Coding: Moving Your Practice to the Next Level (A3034)” from
8:30-10 a.m. Monday, Nov. 5, in room W304EF of the convention center.
Dr. Kanter is chair of the AAP Committee on Coding and Nomenclature (COCN) and vice
president, medical coding, MEDNAX Services Inc., National Medical Group, Palm Beach
Dr. Parsi is a member of COCN and is in private practice in San Antonio, Texas. She
also is adjunct professor at McGovern Medical School.
In the following Q&A, Dr. Kanter discusses session highlights and why pediatricians
Q: What are the key things you will be covering during the session?
A: Dr. Parsi and I will examine areas of coding and valuation that will be helpful
for physicians in navigating complex coding and billing scenarios. For example, we
will address the Medicare Physician Fee Schedule and the role it plays in relative
value unit publication and physician payment especially as relates to non-Medicare
We will discuss how the physician relates to nonphysician clinicians from the perspective
of incident-to and billing. And we will review less familiar Current Procedural Terminology
codes such as Prolonged services, Care Management services and troublesome modifiers
such as 25, 59 and 76.
Q: How will you use the audience response system?
A: The audience response system gives Dr. Parsi and me the opportunity to pose questions
to attendee physicians as means to introduce a new topic that will then be discussed
in greater detail.
Q: Why you think coding is an important topic for pediatricians to learn more about?
A: Nationally standardized code sets are the means by which physicians communicate
to payers in support of payment for services rendered to patients. Appropriate use
of these codes increases the likelihood that physicians will be able to support their
claims for payment.
Q: How did you get interested in coding?
A: Supporting physicians in their use of standardized code sets offers a fascinating
opportunity to collaborate with physicians in a wide spectrum of care settings and
specialties to enhance their ability to appropriately use the code sets for the care
Q:What is the take-home message of the session?
A: Compliant and confident coding is within reach of all physicians.
Q: Is there anything else you would like to add?
A: The Committee on Coding and Nomenclature is but one example of how the Academy
attracts national expertise committed to assist pediatricians in being professionally