A practice management consulting and training firm working for and with physicians since 1985

Thursday: E&M Coding Profitable Practice Operations and Strategy

You carefully hone your surgical skills, but are you as meticulous with your business and administration skills?

Are you paying attention to your practice’s current need for accurate coding, efficient operations and technology-enhanced billing and collections? Do you have time to plan for participation in government incentive programs and the shift toward payment models based on outcome, cost, and quality measures?

This course is focused on fine-tuning the business and reimbursement side of your practice. You’ll receive the information and tools needed to code E/M services with confidence, utilize modern payment technologies, evaluate and improve billing and collections systems, and prepare for the coming changes in healthcare reimbursement.

Who Should Attend This Course
  • Your dictation, or lack of it, drives procedural coding.
  • Your risk of denials and adjustments may increase, (and your staff’s ability to appeal may decrease) if the rules are not clearly understood.
  • Your diagnostic coding defines medical necessity.
  • You need to amend your dictation NOW to prepare for the coming ICD-10 changes.
  • If you are hospital-employed, your coding and documentation accuracy impacts the compensation formula.

Practice Executives, Administrators and Practice Managers
You are the chief compliance officer in most private practices. In order to supervise the economic engine of the practice you must understand the business office operations.

Coders and Billers
If you’re responsible for entering data, working denials, applying modifiers, posting payments and filing appeals, your expertise in surgical and office coding must be exacting in its execution!

Hospital or MSO Executives Running General Surgery Practices
Maximize your profits! Understand what is special and unique about billing for the general surgery service line, and keep your surgeons happy and bonus-able. (Not to mention reduce compliance headaches.) Learn the rules and avoid using incorrect and expensive assumptions that result in fiscal disaster.

Team Attendance Produces The Best Results!
Getting paid is a team effort— and surgeons lead the team. If the doctors don’t understand what’s needed in an operative report from a coding and reimbursement point of view (something they don’t teach in residency) they are short changing themselves.

* Scroll down to register
What You'll Learn
KZA workshops are a valuable asset in helping you prepare to run your practice with agility in this ever-changing climate of coding andinsurance claim submissions.
  • Topics covered include:
  • What type of code to select?
  • What level of code to select?
  • Is the E/M service part of the global or separately payable?
  • When surgeons provide critical care to an injured patient, is that part of the global payment in addition to surgery? Or separately reimbursed?
Correct your modifier and diagnosis code ordering. Screening colonoscopy services routinely convert to therapeutic or diagnostic procedures and can affect the payment of the claim. Learn to navigate ordering and avoid confusion.

Position your surgical practice for changes coming in the health care system, including moving to ICD-10 and the need for more specific clinical documentation. The risk for not meeting meaningful use requirements and not reporting on PQRS measure is high. The penalties for 2015 add up. Protect your practice!

Using up-to-date technology and effective procedures, surgical practices can bill and collect more efficiently for services they’ve provided. Collect what you are owed!

Learning Objectives
At the end of the day, participants will be able to:
  • Select the correct category of code for office and hospital services.
  • Implement new strategies for moving toward new payment models.
  • Identify key financial indicators for monthly review.
  • Reduce the chance of an audit by documenting correctly.
What's on the Agenda
Just tell me what to bill! How to select the correct type of E/M service
  • What type of visit to report: new patient, consult, initial hospital services, observation
  • Which E/M services are part of the global and which may be billed
  • Reporting critical care for non-surgical patients
  • Reporting critical care for surgical patients
  • Screening colonoscopy, CPT codes, HCPCS codes, and modifiers

Level of service for E/M visits

  • Documentation requirements for E/M services
  • Medicare fee schedule and relative value units
  • E/M documentation copied from a previous visit
  • Compliance alerts
  • CMS and CPT updates

Strategy

  • Moving from a fee-for-service world into a hybrid payment system
  • Patient engagement
  • How to participate in the Medicine Physicians Quality Reporting System
  • Understanding the Medicine EHR Meaningful Use Program
  • Diagnosis coding: it’s not just for claims any more
  • Overview of risk based diagnosis adjustments

Practice operations

  • Using technology to improve collections
  • Registration, deposits, verification of insurance
  • Collecting patient due balances
  • Key performance indicators and reports
  • Optimal scheduling, no-show reduction
CME/CEU Accreditation
AMA PRA Category 1 Credits™ will be provided for this activity

E/M Coding, Profitable Practice Operations and Strategy (6.5)


To begin registering, click the button describing your ACS membership status
Schedule
7:30am Registration/Continental Breakfast
8:00am Course begins
10:00am - 10:15am Break
12:00pm - 1:00pm Lunch provided
4:00pm Program adjourns

Download the Brochure

What 2014 Attendees
are Saying

2014 Thursday Attendees

“This was well-done and informative. Teri did a great job of clarifying and answering questions. It was a great course – essential early on in a general surgeon’s career”

Charles St. Hill, University of Nevada School of Medicine

“Very informative. I have done family practice coding for 10 years, and I am new to the surgical end of coding. This is such a great review and an informative course.”

Andy Beesley, IF Surgical Specialists

“I went to an Optum course last year. Exact reading from the slides with no additional clarifications or explanations. I appreciate the 2-way conversation and explanation as to why this is the way… not just ‘This is how!’”

Dianne Brattain, Alaska Bariatric Center

“This course has been very informative as I am new to coding. The content of this course answered a lot of questions that I have been struggling with.”

Rae Sanchez, Delta Surgical Associates

2014 Friday Attendees

“Great course. I would highly recommend it to others.”

Joshua Froman, MCHS

“This course was amazing even though it pointed out how much I don’t know! Very helpful. Thank you!”

Debbie Barley, Green County Surgical Arts

 “Excellent for both young and ‘old’ surgeons and their staff.”

Shleton Viney, MD, Midland Surgical Associates

2013 Past Attendees

“This course was incredibly well put together by knowledgeable staff. Speaker and content was extremely helpful.”

Cynthia Serafine, Admnistrator,
Winter Park, FL

“This course was superb. I wish I had taken this course six years ago. It should be mandatory for all new surgeons!"

Peter F Lalor, MD, Bowling Green, OH

This is my fourth year attending and I am still learning new techniques!”

Hope Dayi, Billing Manager, Provo, UT

I am extremely pleased with the information presented at these courses and am happy I made the decision to attend. I would like to get my physicians to attend next year.”

Jennifer McNabb, CPC, CGSC,
Chattanooga, TN

“Great value! Should be mandatory.”

Robert Marema, MD, Ponte Verda, FL

“Excellent!! Great resource for any practicing physician and any resident/fellow who is about to enter practice.”

Avi Bhavaraju, MD, Marietta, GA



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