FRIDAY PM

Power E/M Coding & Office Procedure Coding

Agenda

*agenda subject to change

1:00 PM - 1:15 PM

E/M Categories of Service: Office, Consultations, Inpatient, Observation

1:15 PM - 3:00 PM

E/M Levels of Service: Office and Outpatient Setting (99202-99215)

  • MDM Criteria – key definitions
  • Time Criteria
  • Exercises: Documentation Review Using 2021 Guidelines

3:00PM - 3:15PM

Break

3:15 PM - 3:45 pm

E/M Levels of Service: Other Settings

  • History, Exam, Medical Decision Making: Key Documentation Issues
  • What’s on the horizon for E/M changes?

3:45 pm - 4:15 PM

E/M Modifiers 24, 57, 25

  • Modifier 25 with E/M services and joint injections
  • When shouldn’t E/M services and procedures be reported together?
  • Appeal strategies for E/M and office procedures.

4:15 -pm 4:45 pm

PA and NP Billing for Medicare

  • Define “incident to”, split/shared, and direct reporting.
  • 2021 CPT addresses split/shared for the first time.
  • Differentiate billing options for office and hospital places of service.
  • Tools for tracking payor use of these reporting options

4:45 pm - 5:00 pm

Radiology

  • Does your radiology interpretation stand up to scrutiny?
  • Understand requirements for reporting a global X-ray service vs. taking medical decision-making points.

5:00PM

Adjourn

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