E/M Coding and Auditing for the Musculoskeletal Specialties

Event Information
Product Format
Prerecorded Event
Lynn M. Anderanin, CPC, CPMA, CPPM, CPC-I, COSC
60 minutes
Product Description

Maximize Reimbursement While Meeting Medical Necessity Requirements

Historically E/M coding professionals have been instructed to use either the 1995 or 1997 documentation guidelines, not a combination of the two. However, recently there have been changes to this guideline. These changes have encouraged insurance carriers from increasing post payments reviews and audits. For providers, it’s imperative to know what works best in obtaining the maximum reimbursement while meeting medical necessity requirements.  

Musculoskeletal specialties in addition have their own unique set of criteria for the new E/M guidelines, which also includes a musculoskeletal system examination. In today’s regulatory environment where the auditor’s motto should be “Not documented, not done”, auditors should know what to look out for in complete documentation of musculoskeletal visits.

Join expert speaker Lynn Anderanin CPC, CPPM, CPC-I, COSC, in a Live Audio Conference, where she will discuss E/M coding and auditing for musculoskeletal specialties and show what works best in order to obtain the maximum reimbursement while meeting medical necessity requirements. In addition, Lynn will provide a list of common tests performed in a musculoskeletal examination and know where they should be valued in the examination elements.

Session Highlights:

  • 3 components of history in the 1995 and 1997 E/M guidelines
  • Differences in the examination between the 1995 and 1997 guidelines
  • The level of service to be met with common musculoskeletal visits
  • Requirement to establish a compliance program under the Affordable Care Act
  • The 7 core elements of ACA provider compliance programs
  • Common musculoskeletal examination tests
  • Common documentation errors
  • What auditors should look for in complete documentation of musculoskeletal visits
  • Ideas of how to effectively communicate and educate providers on proper documentation

Session Agenda:

  • Who’s looking? – OIG, CMS-CERT, RAC, Cigna, Humana, Workers Compensation
  • The Affordable Care Act Provider Compliance Programs
  • Medical Necessity
  • E/M Basics
  • Expanded Problem Focused & Expanded History
  • Medical Decision Making
  • Average Established Patient Levels
  • MRI Result Visits
  • Coding By Time Documentation Necessary
  • Content of Counselling Summary
  • Clinic/ Outpatient Visits
  • Hospital Inpatient Visits
  • Reporting Results
  • After the Audit – Providing Training

Who should attend

  • Physicians
  • Non physician providers
  • Managers
  • Administrators
  • Scribes
  • Coders
  • Orthopedics
  • Podiatry
  • Rheumatology
  • Pain Management
  • Psychiatry

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

Order Below or Call 1-844-384-4744 Today

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About Our Speaker

Lynn Anderanin - Orthopedic Guidelines Expert for ICD 10

Lynn Anderanin, CPC, CPMA, CPPM, CPC-I, COSC, is the  Sr. Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She has over 35 years experience in all areas of the physician practice, and specializes in Orthopaedics.  Lynn is currently a  workshop and audio presenter. She is a  former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served...   More Info
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