The Alphabet Soup of Primary Care Services to Increase Your Practice Revenue

Event Information
Product Format
Prerecorded Event
Jill M. Young, CPC, CEDC, CIMC
60 minutes
Product Description

Identify Services, Document them Effectively, Ensure Medicare Compliance and Optimize Revenue with These Expert Strategies

CMS/Medicare in the last several years has initiated Care Management Codes and Wellness Codes that are geared to helping a Primary Care Office receive payment for services they are already performing and for some new easily achievable services. Each service has its own set of qualifications, patient identifiers, documentation requirements, and some have participating staff and time constraints.

Make sure your practice has identified all the services they can perform and that they are performing and documenting them as required by Medicare Policy. Join expert speaker Jill Young, where she will help you identify these services, define which staff can do what, and know what needs to be documented while staying compliant.

Jill will also provide specific instructions on where to find background information on each service and where to find most current Medicare policies on these services. Additionally, she will provide helpful tools from Medicare on documentation of AWP and IPPE and worksheets for service(s) and enable you to create your own.

Session Highlights:

  • The definition of Clinical Staff and what they can and cannot do with these patient care codes.
  • Documentation requirements for codes with time consideration in code selection.
  • How what and where to document?
  • Medical decision making, Transitional Care, Chronic Care and Advance Care Planning –update on changes for codes in 2016.
  • Care Plan Oversight – what is it and what time “counts”?
  • Non-face-to-face services by clinical staff and providers.
  • Review of Advance Care Planning New CPT® Codes.
  • Annual Wellness Visit – what elements are required in this screening visit?

Session Agenda:

  • Definition of Clinical Staff—CPT® and Medicare
  • Incident to Services:
    • 2014 PFS Final Rule
    • 2016 Final Rule
  • Incident to Billing—Reminders
  • Transitional Care Management
  • Chronic Care Management
  • Medical Decision Making
  • CCM – Scope of Service Elements
  • Care Plan Oversight Services
  • Annual Wellness Visit
  • References

Who Should Attend

  • Office Managers
  • Office Administrators
  • Auditors
  • Coding and Billing Staff
  • Physicians
  • Non-physician Practitioners

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About Our Speaker

Jill M. Young - Pulmonology Guidelines Expert

Jill Young, CPC, CEDC, CIMC, is the Principal of Young Medical Consulting, LLC, A company founded 11 years ago to meet the education and compliance needs of physicians and their staff. Jill has over 30 years of medical experience working in all areas of the medical practice including clinical, billing and rounding with physicians. Her comments and opinions can be seen in several publications and also...   More Info
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