Agenda
*agenda subject to change
7:15AM - 8:00AM
Check-in and Breakfast (provided)
8:00AM - 10:00AM
Evaluation and Management Coding and Documentation
- Overview of E/M Codes
- Categories of E/M Codes
- When to report an outpatient/office consultation code (9924x)
- New patient (9920x)
- Established patient (9921x)
- Emergency department (9928x)
- Inpatient consultation (9925x)
- Initial hospital care (9922x)
- Subsequent hospital care (9923x)
- Discharge (99238, 99239)
- Observation services (99217, 99218-99220, 99224-99226, 99234-99236)
- Levels of E/M Codes
- Recently revised 9920x, 9921x code guidelines:
- Medical decision making – problems addressed, data, risk or
- Time
- Other codes: history/examination/medical decision making or time
- Recently revised 9920x, 9921x code guidelines:
10:00AM - 10:15AM
Break
10:15AM - 10:30AM
Evaluation and Management Coding and Documentation (continued)
10:30AM - 11:30AM
E/M Modifiers and Commonly Performed Office Procedures
- Modifiers 24, 25, 57
- E/M and procedure on the same day – risks and rewards
- Cancer surveillance visits – both E/M and scope?
- Removal of impacted cerumen (Note: cerumen removal will NOT be discussed during the Saturday course)
- Diagnostic endoscopies: nasal endoscopy, flexible laryngoscopy, nasopharyngoscopy; endoscopic sinus debridement
11:30AM - 12:00PM
Medicare: NP and PA Billing Guidelines
• Define “incident to”, split/shared, and direct reporting – who can bill under which provider in a compliant manner
• New 2022 CMS changes to split/shared billing and modifier
12:00PM
Adjourn
Presented by
