The 'Whys' and 'Hows' of Diabetes And Co-morbid Condition's Documentation

Event Information
Product Format
Prerecorded Event
Jill M. Young, CPC, CEDC, CIMC
Conference Date
Tue, Jan 15, 2013
60 minutes
Product Description

New Challenges In Addition To Old, Exist For Documentation Of E&M And Other CPT Services.

More and new payer audits are being done every day,  and medical decision making is frequently under-documented in complex patients. 1995 E&M guidelines state in the medical decision making section that "Comorbidities/underlying diseases or other factors that increase the complexity of medical decision making by increasing the risk of complications, morbidity, and/or mortality should be documented."  How can your documentation tell the story of this complex, complicated patient in a compliant way that satisfies all the differing rules an auditor would look for.

Join this educative session presented by expert speaker Jill M. Young, CPC, CEDC, CIMC who will present

  • Problem lists -  what is the compliant way to work with them for documentation.
  • Surgical patients - why does their diabetes matter if the patient is having a fracture set or having their appendix out?
  • PQRS - how can this tie into co-morbidities?  Could you miss out on your bonus because of them?

Here's a look at what is covered:   

  • What is a co-morbidity?
  • How and when SHOULD you document co-morbidities?
  • Documentation guidelines for E&M Services  - what can we learn from them.
  • Medical Decision Making - how can co-morbidities when appropriately documented raise the level of an E&M visit.
  • How can a co-morbidity help when requesting  extra reimbursement with services billed with a 22 modifier.
  • Types of diabetes - ICD-9 coding 250.xx - Diabetes Mellitus.
  • ICD-9 Guidelines-Hypertension with Heart Disease.
  • ICD-9 Guidelines - Hypertensive Chronic Kidney Disease
  • Use of Modifier 22 - Increased Procedural Service

Who should attend? Office manager, billers, coders, 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
More Events By The Speaker

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