Billing for E/M Services With Chemotherapy

Event Information
Product Format
Prerecorded Event
60 Minutes
Product Description

Review of CMS Rules in Regards to Evaluation and Management Services with Chemotherapy

Many a times oncologist see a patient for an issue that is a significantly and separately identifiable evaluation and management service on the same day that a chemotherapy service is given, and there is often a confusion on when it is appropriate to bill for the E/M service, and when it is not. The increase in audits by Medicare and other private payers have made it an even more pressing issue over the past few years.

In this audio conference, Dreama Sloan-Kelly, MD, CCS will educate on how to appropriately document for the evaluation and management service and chemotherapy service. It will help you identify when it is possible to bill for the E/M services in addition to chemotherapy services, and when it is not appropriate. This session will give you the audit points that most payer auditors are looking for so the practice can remain compliant. Dr. Sloan-kelly will also provide you some quick guides and grids to make the process easier.

Topics covered in the session:

  • Overview on E/M Services and drug infusions
  • Review of CMS rules in regards to Evaluation and Management services with chemotherapy
  • E/M and Chemotherapy services –and the issues and pitfalls
  • Documentation tips to ensure compliance
  • Guidelines on choosing the correct codes and using appropriate diagnosis codes and modifiers
  • How to communicate with your providers the importance of documentation – and actually get them to HEAR you!
  • Insights on Medical Decision Making (MDM) and its elements
  • Choosing the level of service—Types of patient and how it affect coding
  • Billing for Chemotherapy and E/M services

Who should attend: Practice Managers, Office Managers, Medical Billers, Medical Coders, MD, DO, NP, PA, Clinical Documentation Improvement Specialists, MR Auditors

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About Our Speaker

Dreama Sloan-Kelly - Healthcare and Medical Billing Coding Expert

Dreama Sloan-Kelly, MD, CCS has over 14 years of experience in the medical field. A graduate of Wellesley College and Tufts University School of Medicine, she has a varied background including clinical, billing, and coding. Dr. Sloan-Kelly is President/CEO of Kelly, Sloan, and Associates, LLC and speaks at various seminars and webinars, imparting her knowledge in an upbeat, matter of fact, manner. Her goal is get the...   More Info
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