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Catalog Number : cra1753
Title : E/M Coding for Hospitals, Physicians & Telemedicine
Speaker : Duane Abbey

Duration : 90 minutes

Webplay Recording Date : 11-15-2017
Webplay Price : $ 150 for two weeks viewing

Webinar Overview:

How do Physicians and Hospitals use E/M Codes? What are the challenges surrounding E/M Coding? To answer these questions and more come join us in this important and educational Webinar.

Target Audience:

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

Webinar Objectives:

  • Review the E/M codes as they appear in the CPT Manual
  • Compare and contrast E/M coding for the physician professional component versus the hospital technical component
  • Identify the difference between ‘new’ versus ‘established’ patients for physicians and hospitals
  • Recognize the differences in E/M coding for ER physicians and provider-based clinic physicians both primary care and specialty
  • Compare the physician E/M documentation guidelines versus the lack of guidance for hospital use of E/M codes
  • Review the technical component E/M coding system principles as enunciated by CMS
  • Discuss 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

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

  • 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

 Contact Hours:

  • Nursing participants: Instruct-online has approved this program for 1.8 contact hours, Iowa Board of Nursing Approved Provider Number 339. Completion of offering required prior to awarding certificate
  • All other participants: Must attend the entire Webinar and complete a Webinar critique to receive a 1.5 Hour Attendance Certificate for each program.

Refund Policy:

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.