Catalog Number : cra1577
Title : Charge Master: Technical Component E/M Coding & Billing
Speaker : Duane Abbey

Webplay Recording Date : 4-24-2009
Webplay Price : $ 225 for two weeks viewing

Webinar Overview:

• Learn About the New CMS Technical E/M Coding Principles
• Understand the Difficulties with E/M Coding for the ED
• Appreciate the Differences Between Specialty Clinic Coding and Primary Care Clinic Coding for E/M Services
• Understand the Interplay Between Technical Component E/M Coding and Physician E/M Coding
• Learn About the Difference Between a ‘New’ Patient versus an ‘Established’ Patient
• Understand the Special E/M G-codes for Type B EDs
• Understand the Importance of the “-25” Modifier
• Looking to the Future of Technical Component E/M Coding

Target Audience:

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

Prerequisites for Participating:

General knowledge of coding and billing for E/M services in the ED and provider-based clinics.

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
• To understand the differences in E/M coding for ER physicians and provider-based clinic physicians both primary care and specialty
• To appreciate the directive from CMS for hospitals to develop their own mappings of resources utilized into the different E/M levels
• To review the technical component E/M coding system principles as enunciated by CMS
• To delineate how APCs map the different E/M codes into APC payment levels
• To appreciate the special HCPCS codes for Type B Emergency Departments
• To explore the various recommendations for national hospital technical component guidelines for coding E/M services

The following are a few of the topics to be discussed:

• Overview
  • 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
• CMS Coding System Principles for CY2008
  • CMS Guidelines
  • CMS Audit Criteria
  • CMS Expectations
• Assessment of National Guideline Development
  • Alternative Approaches
  • Point Systems
  • Narrative Systems
  • Hybrid Systems
• Provider-Based Clinic Challenges
  • ‘New’ vs. ‘Established’
  • “-25” Modifier Utilization
• Type B ED Use of E/M Codes
• Case Studies/Exercises
• Sources for Further Information

Attendance Certificate:

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.