Spotlight On Office Procedure and E/M Coding


*agenda subject to change

7:00AM — 8:00AM

Check-in and Breakfast (provided)

8:00AM — 9:00AM

E/M Office Coding Changes in 2021 NEW!

  • Code definition changes for 99202–99215
  • New rules for using time for office and outpatient visits
  • New medical decision-making grid in 2021
  • Recommended changes to templates for next year

9:00AM — 10:00AM

E/M Office and Hospital Coding in 2020 

  • Select accurate codes for hospital and office services based on medical necessity and documentation
  • Know what shortcut phrases are supported by the Documentation Guidelines and what phrases to avoid
  • Medical decision-making in its current form
  • Know when using time is the winning hand

10:00AM — 10:15AM


10:15AM — 11:00AM

Selecting the Correct Category of Code​​

  • New and established patient visits and consults
  • Select the correct category of code for initial inpatient services, regardless of payor
  • Coding for visits in the Emergency Department

11:00AM — 12:00PM

Global Surgical Package

  • Components of the global surgical package
  • Separately reportable E/M services
  • Modifiers 24, 25, and 57
  • Differences between the CMS and CPT definitions of the global package

Critical Care

  • Critical care coding rules in and out of the global package
  • Trauma teams and critical care

12:00PM — 1:00PM

Lunch (provided)

1:00PM — 2:15PM

Surgical Procedures Commonly Done in the Office

  • Biopsies, excisions, fine needle aspiration
  • Laceration repair

Screening Colonoscopy

  • Append the correct modifiers to screening colonoscopy services
  • Determine the primary and secondary diagnosis codes

2:15PM — 2:30PM


2:30PM — 3:00PM

Working In Teams With Residents, NPs, and PAs

  • Update to teaching physician rules for students and residents NEW!
  • Medicare incident to and shared services rules

Telemedicine: Separating the Hype From the Reality NEW!

  • Telemedicine as defined by Medicare
  • Place of service and modifiers for telemedicine
  • New CPT codes for online digital evaluation and management
  • Interprofessional consults
  • Non-face-to-face prolonged services

3:00PM — 4:00PM

  • CMS policy update
  • Key A/R metrics
  • Surgical deposits and point-of-service collections
  • Denial management

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Coding Coaches