Overview: This session is dedicated to the correct usage of CPT and the key components surrounding some of the more complex CPT Evaluation and Management services. I will provide a quick-look utilizing the AMA guidelines for CPT coding to clarify the services being billed, for complex E&M physician based medical services. Correct usage of CPT E&M Coding provides a means to which a physician office can provide more information to the insurance or 3rd party payer.
A good thorough understanding of the complexities of these more "difficult" E&M codes and be reviewed to see if they can add additional revenue and fiscal success for a physician based practice. CPT E&M codes add information to the claim, and provide insight into the medical necessity of complex and unusual evaluation and management physician based medical services. These complex E&M codes also help provide additional information to support upper tier and critical based hospital and outpatient physician services that may take more time rather than the traditional E&M history, exam and medical decision making. (eg. significantly and /or separately identifiable Evaluation & management)
Why should you attend: In the healthcare field of CPT base physician billing, Evaluation & Management coding is commonly misunderstood, and misused when submitting insurance claims for physician based services. By attending this webinar, It will give you tips, and helpful hints on regarding concepts of E&M's more difficult areas such as critical care, prolonged Services, Special E&M, Wellness/Preventive Medicine, Newborn Care, Online-medical Evaluations and Telephone Evaluations.
We will discuss components for appropriate usage, and documentation requirements of criteria needed for correct reimbursement of these "special" services provided by physicians, in an office or hospital setting.
By understanding the correct key components of these special E&M services from CPT, you will be able to "paint the picture" of the care the patient received during the physician's office visit, and reap the benefit of a correct claim the first time through, and paid in a timely manner.
This session will enable you and your office to enhance your revenue stream, by utilizing the correct E&M codes for the right reason by submitting these "difficult codes" correctly. We will also cover E&M physician based services that are provided in the hospital/facility areas that include newborn care changes, and critical care E&M services. We will also discuss the usage of "unlisted" E&M and when it is/is not appropriate to use them. We will also touch briefly on the Preventive Medicine Services, that are included in the Evaluation and Management section of CPT, however, these evaluate and manage for "health and prevention" versus "evaluating and managing a specific complaint, or diagnosis.
Even the most experienced office based CPT coder, can glean some new information regarding some of these mis-used, and often overlooked CPT billing codes. This session can give a coder/biller and added boost of education to enhance, or reinforce their coding skills. In light of the implementation of ICD-10 coming up within the next year, having a good grasp of CPT skills, and the expertise and confidence of using E&M will make it much easier to concentrate on upgrading and learning the new concepts with ICD-10cm.
Areas Covered in the Session:
Understand the Guidelines (Critical Key Components)
Critical Care Services
Special E&M Services
Newborn Care Services
Online Medical Evaluation
Who Will Benefit:
Physician Office based, Medical Coders (Certified and non-certified)
Medical Office Managers
Medical Claims Reviewers
Medical Health Record Specialists
Medical Front Office & Back office Personnel
Medical Billing Students
Lori-Lynne Webb Lori-Lynne is an independent coding, compliance, and auditing specialist. She has 20+ years of multi-specialty coding experience and teaches coding, compliance and auditing skills for clinical and clerical staff, utilizing AMA and AHIMA based curriculum. Lori-Lynne is also an AHIMA ACE mentor
In addition to performing physician based coding and auditing services for Physician Services, she is a contributing author & Audio presenter for many national coding resource. She is a speaker, educator, writer and presenter for many national publications and companies such as the, AAPC, AHIMA and IdHIMA. In addition to her educational and technical writing, she also contracts and performs independent audit and education services for private practice physicians and facilities.
Phone No: 800-385-1607
Event Link: http://bit.ly/HxgTNw
Overview: Learn more about Health Insurance Portability and Accountability Act (HIPAA) Audits. In 2012, HHS rolled out a new audit program targeting covered entities, including group health plans for HIPAA compliance audits.
The second round of audits is about to begin in the fall of 2013. These audits focus on the national standards for the privacy of protected health information, the security of electronic protected health information, and breach notification requirements to consumers under the Health Information Technology for Economic and Clinical Health Act (HITECH). This session will describe what you can expect if your health plan is selected for an HHS audit, and what you can learn from the audits, whether or not your program is ever selected. It will include real-world stories from a group health plan that has actually been through a HIPAA audit.
Areas Covered in the Session:
An understanding of the Office of Civil Rights (OCR) audit program for HIPAA privacy, security and the Health information Technology for Economic and Clinical Health (HITECH) Act
Key terms, enforcement authority, and procedures under the new audit program
Who can be audited, the stages of an audit, and the audit protocols
"Lessons Learned" from a real life audit
Who Will Benefit:
HIPAA Business Associates
Chief Information Officer
Health Information Manager
Phil Larson practices as a health, welfare and fringe benefits attorney in Minneapolis, Minnesota. As a recognized expert on health care and employee wellness topics, Phil is a sought-after speaker for organizations and a frequent presenter at the Advanced Employee Benefits Seminar for the State Bar Association.
Phil served as a senior in-house attorney for a major international corporation for more than 17 years before forming his own law firm Kinney and Larson LLP. He has also been an adjunct professor at the University of Minnesota Law School. Mr. Larson practices exclusively in benefits law including the Affordable Care Act (ACA), HIPAA privacy and security, wellness, consumer health programs, and general plan compliance. He has experience with regulatory and contract issues ranging from a million dollars up to a billion dollars. His firm works with employers, health plans, providers, government organizations, third party administrators, financial institutions and entrepreneurs.
Phone No: 800-385-1607
Event Link: http://bit.ly/1aopIQa