E/M Auditing for Cardiology- Inpatient & Outpatient

Event Information
Product Format
Prerecorded Event
Conference Date
Thu, May 28, 2015
60 minutes
Product Description

Should we be capturing TCM or Chronic Care Codes for Cardiology? Find the answer HERE

Documentation and coding for E/M services is considered tricky for a cardiology practice. Although, there are various EHRs offering coding tips for E/M services, this should not be a substitute for the physician’s code selection.

2015 has brought a new change to Cardiology. There is now a new specialty designation taxonomy code C3, that a physician may now choose when they self-designate their specialty on Medicare enrollment applications and PECOS applications. This new “sub-specialty” of Cardiology is for CMS claims processing purposes.

Join cardiology coding expert Terry Fletcher, BS, CPC, CCC, CEMC, SCP-CA, ACS-CA, CCS-P, CCS, CMSCS, CMC in this informative session to get insights on the new changes in E/M auditing and documentation to cardiology in 2015.

In this session, you will get answers to the following and more:

  • What does "same specialty or subspecialty" mean?
  • Are you supporting your level 4's and 5's? How to ensure you're compliant?
  • When is an H&P appropriate to bill?
  • When can you capture a 99211 visit and what are the elements needed to pass an audit?
  • Medicare and CPT® — is there a disconnect on the auditing?
  • Should we be capturing TCM or Chronic Care Codes for Cardiology?

Terry will also share audit tools, E/M examples on cardiology specialty, and audit software options for your benefit.

Session Highlights:

  • Reporting E/M and a diagnostic on the same date – how to pass an audit
  • The Observation code discussion and how to be compliant
  • CMS Audit Alert!
  • EMR Documentation Updates 2015 – CMS & HHS targeting Cardiology services
  • Common deficiencies in E/M coding for cardiology
  • Looking at the MDM to make sure you are capturing the correct code for maximum reimbursement
  • 99211 Medical Necessity
  • Transitional Care CPT® Codes
  • Critical Care Coding for Cardiology
  • New vs. Established patient, the "new" CPT® definition
  • Understanding the HPI elements—EMR or not
  • A look at the CV exam 95 vs. 97 guidelines
  • Actual E/M records to audit together

Who should attend

Coders, Billers, Physicians, Administrators, Collectors, Front Office, Cardiology Business Office Personnel


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About Our Speaker

Terry Fletcher - Cardiology Coding Expert

Terry Fletcher is a specialty coding industry coding and billing expert, auditor and educator based in Laguna Beach, California, with over 30 years of experience. Terry is a past member of the National Advisory Board for AAPC, past Chair of the AAPCCA, and AAPC National and Regional Conference Educator. Terry is the technical editor for the Select Coder®  from DecisionHealth, editorial advisor for Cardiology Coding Alert! & Practice...   More Info
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