Agenda
*agenda subject to change
7:15AM - 8:00AM
Check-in and Breakfast (provided)
8:00AM - 10:00AM
Risk Areas for Evaluation and Management
- Understand the Various Entities Involved
- Medical Necessity
- Clinical Documentation Improvement
- Risks of Using an Electronic Health Record (EHR)
Evaluation and Management Coding and Documentation
- Overview of E/M Codes
- Levels of E/M Codes
- Documentation Dos and Don’ts for History
- History
- Documentation Dos and Don’ts for Exam
- Examination
- Documentation Dos and Don’ts for Medical Decision Making
- Medical Decision Making
- Documentation Requirements/Choosing the Correct Code
- Using Time to Select a Code
10:00AM - 10:15AM
Break
10:15AM - 12:00PM
Evaluation and Management Coding and Documentation (continued)
- Consultation Coding NEW!
- When to bill consultation instead of other E/M codes
- The “Three Rs” of consultations
- E/M Audit Tools
- Sample audit tools from payors NEW!
- Learning to use an audit tool
E/M Modifiers
- Modifiers 24, 25, and 57
Cerumen Removal on the same day as an E/M Service
- Examples of when cerumen removal and E/M is appropriate
Diagnostic Endoscopies on the Same Day as an E/M Service NEW!
- 31231 – Diagnostic nasal endoscopy
- 31575 – Diagnostic laryngoscopy
- 92511 – Nasopharyngoscopy with endoscope
CMS Guidelines: Non-Physician Provider (Advanced Practitioner) Billing
Audit Strategies
Presented by
