A Last Look at E/M Coding for Urologists

Event Information
Product Format
Prerecorded Event
Michael A. Ferragamo, Jr., MD, FACS
Conference Date
Wed, Jun 13, 2018
90 minutes
Product Description

How to Improve: Tackle Level-of-Service, Documentation Queries & Achieve Maximum Reimbursement for E/M Services.

Coding for evaluation and management (E/M) requires a keen eye for detail. It can be tough to keep up with the rules for each level of service—not to mention all the documentation that’s required by both CMS and payers to insure accurate billing. And let’s not forget all the complex clinical scenarios that can cause level-of-service confusion—even if you’re a seasoned coder!

Join Dr. Michael A. Ferragamo as he explains exactly what’s expected of you—and how to optimize your revenue with savvy urology E/M coding. Ferragamo will outline the do’s and don’ts to follow to avoid denials and loss of payment.

This session will take you step-by-step through the key components of an E/M code, as well as break down the elements of History, Physical Examination and Medical Decision Making (MDM). You’ll learn the frequency of patient visits using the bell-shaped data; when to bill for a new patient visit, even if it’s for an existing patient; and how to code for each. Ferragamo will use references to clinical cases to give you clear, real examples of how to code for different clinical scenarios.

After attending, you will have the knowledge and ability to correctly code for the various clinical levels, identify risks that could lead to denials or audits, and achieve maximum reimbursement for E/M services.

Session Highlights

Here is a taste of what you will uncover:

  • How to correctly code E/M services and why this is so important
  • What are the three components of an E/M code
  • What documentation is required for each E/M level
  • Which factors can lead to denials and audits
  • When a new patient visit can be billed for an established patient
  • What constitutes medical necessity
  • How to explain the difference between coding for new and established patients
  • What are the criteria for History, Physical Examination Requirements, and MDM for each E/M visit

Session Agenda

  • Why should E/M coding be as accurate as possible?
  • Office coding update
  • Incorrect coding
  • Coding update 2018 – medical records
  • Medical necessity
  • Urology coding update Review of Systems (ROS)
  • E/M levels of care
  • ROS documentation guidelines
  • Non-contributory for family history
  • History documentation summary
  • Exam coding
  • Examination of an established patient
  • Medical Decision Making (MDM): the pathway to proper and accurate E/M coding

Who Should Attend

  • Coding professionals
  • Billing specialists
  • Urologists
  • Professionals involved in the posting of E/M services
  • Office and clinic managers/administrators
  • Office and clinic staff wishing to learn and enhance their knowledge of coding E/M visits

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

Michael A. Ferragamo - Urology Coding Expert

Dr. Michael A. Ferragamo, Jr., MD, FACS, is the former chief of urology of Hempstead Medical Center and of Franklin Medical Center of Long Island, New York, and presently is assistant clinical professor of urology, State University of New York, Stony Brook School of Medicine. Michael is a consulting editor for Urology Coding Alert and is a coding consultant for many private practices across the United States as...   More Info
More Events By The Speaker

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