Proper Use of Critical Care Coding—CPT® and Diagnosis Coding for the Physician’s Office

Event Information
Product Format
Prerecorded Event
60 minutes
Product Description

Complying with Proper Documentation and Coding Requirements–CPT and ICD-10-CM

Documentation is a most challenging part of any E/M service but particularly so with Critical Care coding. Do it wrong and you can expect denials and audits.

Complying with proper documentation and coding requirements – both CPT® and ICD-10-CM for physician’s practices has become more complex over the last 12 months and will become more so in the next few years with the introduction of MACRA and MIPS. Coding or documenting incorrectly will result in provider’s quality score being adversely affected.

This session by expert speaker Ray Cathey, PA, FAAPA, MHS, MHA, CMSCS, CHCI, CHCC, will assist and motivate providers and office billing staff to document and code to the highest level of specificity. This knowledge will help you position yourself for a positive impact of the new payment systems on your medical practice.

This session will focus on documentation, what procedure codes can be added, and how to document them. It will also discuss the proper use of EHR templates, coding diagnosis as specifically as possible to avoid denials and refunds. Plus, you’ll learn about the “triggers” that auditors look for.

Session Highlights:

  • Documenting time
  • Proper diagnosis selection
  • When to and when not to bill Critical Care?
  • Key points to consider when billing critical care
  • Common reasons for documentation that do not support critical care services
  • Avoiding claim denials
  • Appealing claim denials

 Session Snapshots:

  • Critical Care CPT® coding
    • Per Medicare MAC Fact Sheet from CGS
    • Medicare critical care documentation guidelines
    • Critical care definitions
    • Tips for coding critical care
    • Bundled services
    • Common mistakes when coding critical care
    • Common related procedures
    • Remote real-time interactive video-conferenced critical care
  • CPT® changes 2017
  • Moderate (conscious) sedation
  • Critical care diagnostic coding
    • 2017 ICD-10-CM additions, deletions, revisions
    • Infectious and parasitic diseases (A00-B99)
    • Disease of the respiratory system (J00-J99)
    • Symptoms, signs, abnormal clinical & lab findings (R00-R99)
    • Injury, poisoning, & other consequences of external causes (S00-T88)
    • External causes of Morbidity (V01-Y98)
    • Factors influencing health status and contact with health services (Z00-Z99)

Who Should Attend

  • Pulmonary and Critical Care providers
  • Medical office coding and billing staff
  • Medical practice administrators

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About Our Speaker

Ray Cathey - Physician Assistant Profession

Ray Cathey, PA, FAAPA, MHS, MHA, CMSCS, CHCI, CHCC, has assisted thousands of Physicians, medical practices and their staff across the U.S. He has worked as a practicing PA and practice administrator for both large and small medical practices and has been a medical practice management consultant for over 35 years. He takes great care in providing accurate and timely information. The result has been appropriate payments of...   More Info
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