Pre-operative “clearance” visits can feel routine — but they’re one of the most misunderstood billing scenarios in medical practice.
Most offices don’t realize that CMS and CPT have strict documentation and coding rules that determine whether these visits are billable. When those rules aren’t followed precisely, claims are denied, audits are triggered, and valuable revenue is lost.
This 60-minute session gives you step-by-step direction on how to document, code, and bill pre-op clearances compliantly — so every visit gets paid, and every audit is defensible.
Incorrect billing of pre-op clearances is one of the quietest revenue leaks in outpatient practice.
Denied claims: Mis-sequenced or unsupported diagnoses often trigger “not medically necessary” denials.
Audit exposure: Improper documentation can appear as miscoding or upcoding — a compliance risk.
Lost productivity: Staff spend hours appealing or correcting claims.
Even a 10% denial rate could mean $7,500–$15,000/year in lost revenue per provider.
Don’t let avoidable denials and audits drain your bottom line.
Webinar Objectives
By attending this training, you will:
Understand CPT and CMS rules for pre-operative clearance visits.
Learn how to select the correct E/M code based on documentation.
Master diagnosis sequencing — which ICD-10 codes to use and in what order.
Align front-desk, provider, and billing workflows for full compliance.
Know exactly what to include on a compliant claim form to avoid denials.
Webinar Agenda
Patient Intake & Front-Desk Role – identifying the reason for the visit in compliant terms
Provider Documentation – what CMS expects in E/M elements and medical necessity
Diagnosis Coding – choosing and ordering ICD-10 codes for pre-op clearances
Billing & Claim Submission – structuring a compliant claim form
Live Q&A Session – bring your toughest pre-op billing questions
Webinar Highlights
ICD-10-CM Guidelines for pre-operative visits
Correct order of diagnosis reporting
CMS requirements for documentation and E/M level selection
Completing a compliant claim form
Live Q&A with expert insight
Bonus: All attendees receive downloadable ICD-10-CM Pre-Op Clearance Guidelines and presentation handouts.
Who Should Attend
This session is designed for:
Coders, Billers, Auditors, Office Managers, Administrators, Physicians, Physician Assistants, and Compliance Officers involved in surgical clearances or pre-operative workflows.
If your team handles pre-op evaluations, you can’t afford to miss this training.
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Jill M Young is the Principal of Young Medical Consulting, LLC. A company founded 18 years ago to meet the education and compliance needs of physicians and their staff Jill has over 40 years of medical experience working in all areas of the medical practice including clinical, billing and rounding with physicians. Her unique style of working with physicians is not only effective but helps bridge the gap between coders and physicians from a practical perspective. Her comments and opinions can be seen in several publications and also heard on a variety of audio-conferences. Her background gives her a unique style of teaching using real life examples of coding and…
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