Top ED Coding Challenges for 2012
Product Description:
AUDIO CONFERENCE ON CD OR ON-DEMAND
Sponsored by: JustCoding
Presented on February 23, 2012
Emergency department coding is uniquely complex because coders for ED services must have an understanding of both facility and physician coding in order to ensure accuracy and completeness.
In this 2-hour audio conference, our expert speakers discuss some of most controversial areas for ED coding including trauma coding, ED E/M levels, observation, critical care, conflicting rules between physician and facility coding and other common and complex ED procedures. They also help you identify problem areas and increased needs for physician and nursing documentation in the ED as you prepare for ICD-10 transition.
Level: Intermediate.
Listeners should have a general familiarity with ED coding.
LEARNING OBJECTIVES
- Explain how to correctly bill for subsequent days in observation
- Differentiate between bundled services and those that can be unbundled
- Describe the proper way to apply critical care criteria and guidelines
- Create a plan for ICD-10 documentation improvement for common ED services
AGENDA
- Subsequent days in observation
- Medicare and non-Medicare payers, including 48-hour rule
- Non-covered acute monitoring
- Carve out services from observation time
- ED physicians managing observation
- Condition Code 44
- Rules for facility vs. physician
- Bundling/unbundling
- CCI edits
- Fluoroscopy bundled with orthopedic procedure codes
- -AY, -ET, and -27 modifiers
- CMS’ changes to post-operative global period
- Status indicators “X” and “0”
- Potential changes to facility-side reimbursement for E/M services
- Critical care
- Defining bundled services
- Following CPT® as well as your own hospital’s guidelines
- Meeting Level 4 and Level 5 requirements
- New Medicare clarification for injections and infusions
- What is hydration—and infusion?
- What is an additive?
- ICD-10 in the ED: Preparing your physicians to document for common problems
- Determining top procedures
- Auditing current documentation
- Communicating new requirements to physicians
- A question and answer session follows the presentation.
MEET THE SPEAKER
Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC, is president of Edelberg Compliance Associates of Baton Rouge, LA. Edelberg is an emergency medicine, ambulance/EMS and hospitalist compliance, audit, and coding consultant. She has more than 30 years of experience in the coding and billing field.
CONTINUING EDUCATION
AAPC
This program has prior approval of AAPC for 2.0 Continuing Education Units. Granting of this approval in no way constitutes endorsement by AAPC of the program, content or the program sponsor.
AHIMA
This program has been approved for 2.0 continuing education unit for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).
Please note the expiration date for this audio is 2/23/13.
WHO SHOULD LISTEN?
In hospitals and physician practices: HIM directors and managers; outpatient coding staff; compliance managers and staff; chargemaster coordinators; ED directors, managers and coding staff; physician coders; physician practice managers; nurse managers, billers
AUDIO ON-DEMAND
Purchase a CD or an audio on-demand of the audio conference and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.
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