Catalog Number : cca1276
Title : E/M Coding: Staying in Compliance
Speaker : Duane Abbey

Webplay Recording Date : 12-15-2010
Webplay Price : $ 200 for two weeks viewing

Webinar Objectives:

• To review the E/M codes as they appear in the CPT Manual
• To compare and contrast E/M coding for the physician professional component versus the hospital technical component
• To appreciate the difference between ‘new’ versus ‘established’ patients for physicians and hospitals
• To understand the differences in E/M coding for ER physicians and provider-based clinic physicians both primary care and specialty
• To appreciate the physician E/M documentation guidelines versus the lack of guidance for hospital use of E/M codes
• To review the technical component E/M coding system principles as enunciated by CMS
• To explore the compliance challenges faced by both physicians and hospitals for E/M coding and the “-25” modifier
• Recognize how to make changes to accommodate CMS’s dropping the use of the consultation codes.

Webinar Outline/Agenda:

• Overview
  • E/M Coding Under RBRVS
  • E/M Coding Under APCs
  • E/M Codes
  • Physician Use of E/M Codes
  • Hospital Use of E/M Codes
• E/M Coding Guidelines
  • Physician Guidelines
  • Hospital Developed Guidelines
  • Variations for ED and Provider-Based Clinics
  • Consultation Code Issues and the “-AI” Modifier
• CMS Coding System Principles and Guidance
  • CMS Guidelines
    • Physicians
    • Hospitals
  • CMS Audit Criteria
  • CMS Expectations
• Assessment of National Guideline Development For Hospitals
  • Alternative Approaches
  • Point Systems
  • Narrative Systems
  • Hybrid Systems
• Provider-Based Clinic Challenges
  • ‘New’ vs. ‘Established’
  • “-25” Modifier Utilization
• Case Studies/Exercises
• Sources for Further Information

Target Audience:

• Billing and Claims Transaction Personnel
• Nursing Staff
• Outpatient Service Area Personnel
• Chargemaster Coordinators
• Financial Analysts
• Compliance Personnel
• Auditors
• Nursing Staff
• Physicians
• Other Interested Personnel

Certificate Information:

Upon attending this course you will receive a 1.5 Contact Hour Attendance Certificate. There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.