E/M Documentation: Train the Trainer

Event Information
Product Format
Prerecorded Event
Presenter(s)
Barbara J. Cobuzzi, MBA, CPC, CENTC, COC, CPC-P, CPC-I, CPCO, AAPC Fellow
Length
90 minutes
Product Description

Ensuring that Your E/M Documentation and Coding is Up to Snuff!


Improper documentation for E/M services has resulted in major compliance violations and loss of revenue to numerous healthcare practices. The implementation of EHR systems has only added to the confusion and potential for errors. For example, if your EHR is producing E/M documentation that is robust in one segment (such as History) and thin in another (say the physical Examination), you may just be trusting the device way too much! Auditors can down-code most of your E/M claims due to a vacant “physical Exam” section in the documentation.

While correct documentation and E/M coding is one of the most misinterpreted requirements put on a physician, it’s also the physician’s best defense against payer audits and government scrutiny. The challenge is adopting best practices and keeping the organization in the know when it comes to E/M documentation and compliance.

Join expert speaker Barbara J. Cobuzzi in this informative session, to determine E/M documentation and coding dangers and avoid potential disasters along the way. Get all the definitions you need to know and get the knowledge to fit together all the many E/M working pieces. Learn about tips and strategies to present E/M service issues in a way that make sense to your physicians. Also, get practical information and knowledge to take care of medical necessity, E/M documentation and EHR issues effectively.

Session Highlights:

  • How are physicians Selected for the Audit?
  • Medical Chart NCQA guidelines
  • Guidelines for Documentation & Medical Decision Making
  • Consultation vs. Concurrent Care
  • Non physician Practitioners Documentation
  • Documentation Requirements and Pre-Operative Clearance for Non-Medicare
  • Incident-to Services Error Rate when Performed by NPP & Place of Service Issues
  • How to document an ABN?
  • How do you explain E/M to your providers?
  • What should you look for after an EHR has been implemented?
  • What actions need to be taken to protect the practice for both compliance and income optimization?
  • Educating the providers to enabling them to care for patients and not get overwhelmed by E/M calculations.
  • OIG recent report on high-level E/M services, Top physician Audit Targets and E/M Risk Areas.
  • Incident to Errors and “Incident-to” Basic Requirements.

Session Agenda

  • What are E&M codes?
  • 3 Main Steps You Must Know
  • Leveling Exercise
  • E/M Services Coding guide
  • Category/ Subcategory
  • Determining the History & Exam Levels (HEM)
  • Determining MDM Levels
  • History – HPI, ROS, PFSH
  • Interval History
  • 95 & 97 guidelines
  • New vs. Established
  • Non-Medicare Documentation Requirements
  • Hospital Admission vs. Consultation (Non-Medicare)
  • Place of Service Issues
  • ABNs

Who should attend

  • Physicians
  • Office Managers/administrators
  • Coders
  • Billers
  • Billing Managers/Supervisors
  • EHR implementation teams

Order Below or Call 1-844-384-4744 Today

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About Our Speaker

Barbara J. Cobuzzi - Healthcare Compliance Training Expert

Barbara J. Cobuzzi owns CRN Healthcare Solutions which provides value added provider consulting services. She holds a B.S. in industrial engineering from Rensselaer Polytechnic Institute and an MBA from New York University. She holds certifications from the AAPC as a CPC (certified physician coder), COC (certified hospital outpatient coder), CPC-P (certified payer coder) a CPC-I (certified coding instructor) and a CPCO (certified professional compliance officer). She also holds...   More Info
More Events By The Speaker

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