Endoscopy Procedures vs. E&M Visits - Are You Leaving Dollars On The Table As Your Physicians Focus On Procedures?

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

Identify Patients at Risk and Its Proper Documentation Requirement

We all know that a routine E&M before a screening colonoscopy is not payable for Medicare and insurances.  But is your practice leaving dollars on the table by not seeing and evaluating patients with co-morbidities prior to procedure? Patients at Risk are not routine and evaluation of their co-morbidities and the appropriateness of the endoscopy procedure is allowed and it's good medicine. It's all in the intake of information your practice does to identify patients that are not routine and are eligible for a medically necessary E&M visit.  Sometimes, the requesting physician's office indicates they are referring a complex patient that may be at risk.  Other times it is found at triage.  The same is true for diagnostic colonoscopy and upper endoscopy patients. The question needs to be asked. Is this patient "routine"?

Identifying patients at risk raises the question of whether the patient should be evaluated for the appropriateness of the procedure based on their health issues.  It also solves problems with cancellations due to medical issues with patients or those who did not understand instructions creating a situation causing the physician to call off the procedure, resulting in additional lost revenue.

Join Jill Young in this informative session to know how to do the RVU comparison yourself and where to look up your payment comparisons. Jill will help you identify patients at risk at intake and its proper documentation requirement.

Jill will also provide insights on how to streamline the office visit process to keep physician efficient.

Take a look at the topics covered:

  • Documentation of risk is the key, what are the 3 areas that will help show medical necessity for the pre-procedure visit
  • Identifying patients who should be seen prior to procedure
  • Know how to make the payment comparison - understanding the financial incentives
  • Patient's satisfaction in meeting physician prior to procedure
  • Additional non-monetary benefits

Who should attend? Billers, Coders, Office Managers, Practice Managers, Physicians

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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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