Physician Based Charges & Clinical Documentation Requirements for Inpatient E&M Services

Event Information
Product Format
Prerecorded Event
Presenter(s)
Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, CDIP, COBGC, AHIMA approved ICD-10-CM/PCS trainer
Conference Date
Wed, Jan 16, 2019
Length
60 minutes
Product Description

Understand CMS’ Requirements for Inpatient Billing Using the 2019 CPT® Codeset


Coding for inpatient E&M services has very specific requirements, and CMS is currently looking at the usage of these codes to ensure proper reimbursement for the services provided. A good understanding of the concepts and criteria will help you forge through current denials within your inpatient E&M program, processes, and coding—and also determine whether an appeal is necessary.

Learn the key strategies and coding concepts necessary for correct billing of the CPT® mandated and CMS’ inpatient E&M codes from coding specialist Lori-Lynne A. Webb. Webb will explain the nuances of hospital admissions/discharge coding and documentation, along with a brief overview of critical care and time based services that you should know. She will walk you through the requirements for hospital based physician charges for admission codes, daily/rounding codes, and discharge services codes; and take a close look at CMS’ requirements for inpatient billing using the 2019 CPT® codes and codeset. She will also share tips and best practices that show you how clinical and office staff can improve your practice’s financial bottom line.

After attending this session, you will be able to confidently apply the correct and necessary clinical documentation so that it translates well into your billing, coding, and reimbursement. You will also be in a better position to avoid getting into denial and appeal situations.

Session Highlights

This session will bring you up to speed with:

  • Hospital admissions coding and documentation
  • Hospital discharge coding and documentation
  • Critical care and time based services
  • Inpatient in/out admit/discharge same day codes
  • The nuances and requirements for hospital based physician charges for:
    • Admission codes
    • Daily/rounding codes
    • Discharge services codes
  • CMS requirements for inpatient physician billing using the 2019 CPT® codes and codeset

Who Should Attend

  • Physicians who code for themselves
  • Midwives & mid-level providers (NP, PA)
  • Clinical nurse specialists
  • Support clinical staff (such as your RNs and MAs)
  • Coders—all levels
  • Billers and denial insurance managers
  • Office managers

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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About Our Speaker

Lori Lynne - ICD 10 Training Expert

Lori-Lynne A. Webb - CPC, CCS-P, CCP, CHDA, CDIP, COBGC, AHIMA approved ICD-10-CM/PCS trainer, is an independent coding, compliance, and auditing specialist. She has 20+ years of multi-specialty coding experience and teaches coding, compliance, auditing and billing skills for clinical and clerical staff, utilizing AMA and AHIMA curriculum. She specializes in women’s ob-gyn services, maternal fetal ultrasound services, urology and general surgical procedures, to include physician based and...   More Info
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