Physician E/M Coding: Address the Top Five Professional Service Challenges
Sponsored by Evaluation & Management Boot Camp
Presented on Friday, March 11, 2011
Evaluation and management (E/M) services are one of the few places where reimbursement dollars are on the rise. If your documentation isn't in order and you don’t follow CMS/CPT® guidance, you risk audits and potential recoupments.
During this 90-minute audio conference, our expert speakers will look at five areas that create confusion for E/M coding of professional services. They will help you apply the right guidance to select the most appropriate code.
Participants should have a basic knowledge of E/M coding.
At the end of the audio conference, you will be able to:
- Ensure adequate documentation for time-based codes
- Explain the new CPT guidelines for time-based codes
- Define “family” for purposes of determining time spent counseling/coordinating care.
- Determine whether payer-specific guidance might pertain when reporting services that do not meet the lowest level requirements for a code.
- Use modifiers -25 and -57 according to CMS and CPT guidelines.
- Correctly apply CPT guidelines for consultation services and avoid using outdated Medicare rules.
- Time-based codes
- Services included
- Appropriate documentation
- Prolonged services
- Recent CPT® guidance
- Counseling and/or coordination of care
- Supportive documentation
- Patient time v. counseling/coordination time
- CPT definition of “family”
- Services that do not meet the lowest level requirements for a code
- Reporting guidelines
- Local contractor guidance
- Modifier -25 v. modifier -57
- CPT guidance
- CMS guidance
- Consultation services and recent AMA guidance on transfer of care
- Case scenarios
- A live question and answer session follows the presentation.
MEET THE SPEAKERS
Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CEMC, CPC-I, CCDS, is director of HIM and coding at HCPro. She is the director of the Certified Coder Boot Camp®, Certified Coder Boot Camp® Online Version (physician and outpatient hospital coding), Certified Coder Boot Camp®–Inpatient Version (inpatient hospital facility coding), and developed the Evaluation and Management Boot Camp and the HCPro ICD-10 Basics Boot Camp™. She is also recognized as an AHIMA-certified ICD-10 trainer.Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, MCS-P, ACS-EM, ACS-OR, is an independent healthcare consultant and has over 25 years’ experience in the healthcare arena. She performs internal audits, education and training of physicians and office staff, and helps clinics establish billing and coding compliance manuals as an independent consultant. Vaught has presented at numerous conventions in regard to coding compliance, E/M documentation and evaluation, and orthopedic coding and has served as a technical advisor to leading industry organizations. She has also provided testimony regarding correct coding issues and compliance.
WHO SHOULD LISTEN?
Professional services coders, physicians, physician practice managers, billing staff at facilities that bill for Part B professional services, auditors
BONUS MATERIAL INCLUDED IN YOUR MATERIAL PACKETIn addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials.
In addition to the regular participation options for HCPro audio conferences—live, CD, or combination packages—we are pleased to offer another option, audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. It's also a perfect training tool for new staff or as a refresher for veteran staff.
Product Types :
SOURCE CODE: EHCPR