2016 Evaluation and Management Coding Updates

Event Information
Product Format
Prerecorded Event
Lynn M. Anderanin, CPC, CPMA, CPPM, CPC-I, COSC
60 minutes
Product Description

Review Changes to Prolonged Services, RVU Changes, E/M Auditing & More!


Each year CPT® changes are made to Evaluation and Management services codes, and 2016 is no exception. For 2016 one of the important changes is the revisions and additions to prolonged services, which have a confusing range of codes and because of this confusion they may be underutilized, and not considered for usage. It’s important you understand them to use it appropriately.

Join expert speaker Lynn Anderanin, CPC, CPPM, CPC-I, COSC in this informative session, to review RVU changes that are announced related to E/M codes, as well as auditing E/M based on the current guidelines. Lynn will offer explanation of the CPT® E/M changes for prolonged services for a better understanding of their usage, and share any announced changes to the reimbursement for E/M services and supply. Plus, get helpful tips on guideline requirements and tools for the best auditing results.

This session will review revisions being made to the current codes, and the addition of two new codes to be considered. Take a look at auditing E/M services with the 1995 and 1997 guidelines, and what should be taken into consideration when deciding which guidelines to use.

Key Takeaways:

  • Understand RVU changes related to E/M codes
  • Learn about current guidelines for auditing E/M services
  • Get a better understanding of CPT® E/M changes for prolonged services
  • Ensure a better usage of the new codes with the understanding gathered
  • Learn about the important documentation requirements for the new and revised codes
  • Know what you need to know about different payer policies
  • Review revisions to the current codes and addition of codes
  • Take a look at auditing E/M services with the 1995 and 1997 guidelines
  • Tips to stay compliant with coding requirements for E/M coding
  • Tips to increase your practice’s reimbursements

Session Highlights:

  •  Explanation of revisions being made to the current prolonged service codes.
  •  Introduction of new add on codes for clinical staff time, and will insurance companies pay for these?
  •  RVU value changes that may occur that may reduce or increase reimbursement for visits.
  •  Auditing fundamentals for E/M services based on 1995 and 1997 guidelines.
  •  Ideas in working with physicians that have problems with overcoding and undercoding.
  •  Will the Final rule on the physician's fee scheduled include changes to E/M reimbursement? If yes, what is the impact?

Session Agenda:

  • CMS Fee Schedule 2016
  • Changes and Revisions to Prolonged Services in 2016
  • Prolonged Services Staff Changes         
  • Preventive Medicine Revision
  • Counseling Risk Factor Reduction
  • Behavior Change Intervention
  • Advanced Care Planning Changes
  • Category III Diabetes Prevention
  • OIG Work Plan 2016
  • Coding Errors and CERT Errors in E/M
  • Amendments, Corrections and Delayed Entries in Medical Documentation
  • Recordkeeping Principals
  • Paper Medical Records and HER
  • NCCI Policy Manual 2016
  • Medical Necesssity
  • Changes to 1995 Documentation Guidelines
  • 1997 Specialty Examinations
  • Medical Decision Making

Who should attend:

Physicians, coders, PA's, APN, CNS, coders, and billers of any specialty that reports E/M services

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About Our Speaker

Lynn Anderanin - Orthopedic Guidelines Expert for ICD 10

Lynn Anderanin, CPC, CPMA, CPPM, CPC-I, COSC, is the  Sr. Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She has over 35 years experience in all areas of the physician practice, and specializes in Orthopaedics.  Lynn is currently a  workshop and audio presenter. She is a  former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served...   More Info
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