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AUDIOCONFERENCE ON CD AND AUDIO ARCHIVE

Sponsored by JustCoding.com

presented on March 4, 2008

Avoid Medicare's shared/split encounter risks

This year the spotlight is on Medicare’s shared/split encounter policy. Not only does the 2008 OIG Work Plan focus on it heavily, but the government is instituting many court cases involving fraud allegations of improper billing and payment of “incident-to” services. And physicians are not the only parties being held accountable; coders are being named as defendants as well. While so much attention is being paid to this policy, HIM professionals are still struggling to distinguish between Medicare policies and regulations for private payers.

Listen to HCPro for an in-depth discussion of how to correctly document a shared/split visit and the compliance challenges and risk areas associated with it. During this 90-minute audioconference, our expert speakers explain how this policy applies to CPT codes and when they should be used. Listeners will also walk away with five bonus tools they can implement in their facility immediately, including helpful checklists, tables, and sample policies.

TAKE A LOOK AT THE AGENDA

1. Shared/split relationship to incident-to
2. OIG work plan and risk areas
3. Employer relations
4. Documentation and billing requirements
5. Private payer difference
6. Medicare regulations for non-physician providers
   1. How the regulations apply to shared/split visit rule
   2. What coders should be watchful for when applying the regulations  
   3. Scribing

A question and answer session follows the program

LEARNING OBJECTIVES

By the end of the program you’ll be able to:

• Identify the risk areas and compliance challenges with the shared/split visit rule and identify if you are in compliance
• Distinguish between Medicare regulations and the policies for private payers
• Explain how to correctly document a shared/split visit and explain documentation compliance for Medicare guidelines in regards to split/shared visits
• State to what E/M services the shared/split visit rule applies
• Demonstrate an in-depth understanding of Medicare’s incident-to and/or split/shared provisions
• Implement a “Checklist” for chart reviews that quickly defines whether or not a visit meets the criteria for a split/shared encounter

BONUS TOOLS

In addition to the expertise and advice presented during this audioconference, you'll also receive a slide presentation of the program materials and

1. Checklist for incident-to
2. Checklist for split/shared
3. Examples of acceptable and unacceptable documentation by the physician        
4. Summary table on how to bill for non-physician practitioners.
5. Standard/Policy on NPPs

These materials are provided with PDF links.

CONTINUING EDUCATION CREDITS

This program has prior approval of the American Academy of Professional Coders for 1.5 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content or the program sponsor.

MEET THE SPEAKERS

Elin Baklid-Kunz, MBA, CPC, CCS, works for Halifax Health in Daytona Beach, FL where she is responsible for implementing and maintaining compliance program elements related to the revenue cycle. Baklid-Kunz has 13 years of healthcare experience, including seven years in finance. She is a Certified Professional Coder and Certified Coding Specialist, and she contributes to HCPro’s JustCoding.com by writing e-learning courses.

Jessica A. Little, CPC- FP, INTMED, is a coding and education specialist at Ohio State University Internal Medicine, LLC, Division of Hematology and Oncology, in Columbus, OH. She has nine years of medical coding, billing, reimbursement, and physician education experience in anesthesia, pediatric medicine, emergency department, family practice, urology, internal medicine, hematology, and oncology. Little currently serves on the editorial advisory board for two HCPro publications—APC Answer Letter and JustCoding.com.

WHO SHOULD LISTEN?

Coders and billers, office managers, practice administrators, physicians, compliance officers in the practice and hospital settings, auditors, non-physician practitioners

Purchase a CD or audio archive of the program 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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