WEBINAR: Auditing Evaluation & Management Coding Compliance


Course Curriculum
Dr. Abbey will share how physicians and hospitals should be using evaluation and management (E/M) coding. He will review CMS challenges and difficulties with this coding. He will also share how to differentiate between specialty clinic coding and primary care clinic coding, and “new” patient versus an “established” patient. Additionally, he will assist participants in understanding the interplay between component E/M coding and physician E/M coding. Furthermore, our speaker will share how to organize an E/M coding audit for physicians or hospitals.

Learning Objectives 
At the completion of this program, the participants will be able to:
1. Give examples of codes as they appear in the CPT manual.
2. Identify different guidelines that are used by physicians and hospitals. 
3. Discuss the use of G0463 and BBA 2015 Section 603 clinics. 
4. Describe how to establish an E/M coding audit and audit program. 
5. Differentiate between 'new' versus 'established' patients for physicians and hospitals.
6. Evaluate E/M coding for ER physicians and provider-based clinic physicians both primary care and specialty care. 
7. Explore the compliance challenges faced by both physicians and hospitals for E/M coding and the "-25" modifier.
8. Formulate how to make changes to accommodate CMS's dropping the use of the consultation codes. 
9. Discuss how electronic health record systems create challenges for developing proper documentation to support E/M coding. 
 
Target Audience
Physicians, nurses, clinic managers, clinic administrators, coding, billing and claims personnel, clinical service staff, chargemaster coordinators, financial analysts, compliance managers, non-physician practitioners, healthcare auditors and interested in E/M coding.

Faculty

Dr. Duane Abbey is a management consultant and president of Abbey & Abbey Consultants. For more than 20 years, Dr. Abbey has provided health care consulting services to hospitals, physicians, and medical clinics. The focus of his consulting has been in the areas of compliance, payment and delivery systems. In addition to his consulting, Duane is an invited presenter for hospital associations, medical societies and other groups. He has also published articles and books on health care topics. The speaker has no real or perceived conflicts of interest that relate to this presentation.
 
When
7/10/2018 - 7/10/2018
Where
Webinar
United States

Program


Tuesday, 10 July 2018

 
Time
9:30 AM - 11:00 AM
7/10/2018 9:30 AM
Time
9:30 AM - 11:00 AM
7/10/2018 9:30 AM
Time
9:30 AM - 11:00 AM
7/10/2018 9:30 AM
Time
9:30 AM - 11:00 AM
7/10/2018 9:30 AM

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