Profitable E/M Coding for Urology Practices

Event Information
Product Format
Prerecorded Event
Leesa A. Israel, BA, CPC, CUC, CPPM, CMBS
60 Minutes
Product Description

Sidestep Common High-Risk Urology E/M Coding Slip-Ups with This Expert Training

More than half of urology practice’s income comes from in-office work rather than surgical reimbursement, experts say. With so much of your revenue depending on evaluation and management services, you need to know the E/M codes inside and out. And if the money wasn’t enough pressure, E/M coding is a hot spot for payer scrutiny.

Learn the rules, the tips and tricks, and the pitfalls to avoid from Leesa Israel, who is both a urology coding expert and an E/M auditor and trainer.

In this 60-minute urology-focused session, you’ll not only learn the most common E/M coding pitfalls, but also how to avoid them. You’ll be able to ensure you’re bringing in every dollar your urologist earns, learn how non-physician practitioners can help you increase your office visit income, shore up your inpatient billing, and so much more with the tips you’ll learn in this audio conference.

Leesa, an E/M auditor, urology coding expert, and provider educator, will give you the tips, tricks, and tools to ensure you choose the correct level of service. You see the auditing forms and tools Leesa uses when she performs an E/M audit, and learn how to use them in your own coding. You’ll learn about the most common E/M codes you’ll see in urology, along with urology-specific examples of when to use certain codes.

Here are few topics covered in the session:

  • Get to know the differences between the 1995 and 1997 E/M guidelines — one is usually more beneficial for urology providers. Do you know which one?
  • If you don’t meet the infamous 3 Rs of consultation coding, avoid 99241-99245. Review these critical requirements.
  • Learn when you can — and can’t — count a patient’s previously documented past medical, family, and social history (PMFSH) toward the current encounter’s history level.
  • Unlock the keys to avoiding the established patient 2 of 3 “loophole” that could cost you thousands in a payer audit.
  • Medical decision making is the hardest piece of the puzzle to fit into place —find out how to determine the difference between straightforward, low, moderate, and high.
  • One key factor overrides all history, exam, and medical decision making when choosing a level. Find out what that key factor is.
  • Discover the three essential documentation criteria you must have before you can bill on time alone.

Who should attend? Anyone in a urology or urologynecology practice that is responsible for coding, billing or practice management: urologists, urogynecologists, urology coders, urology billers, urology practice managers

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About Our Speaker

Leesa A. Israel - Urology Coding Expert


Leesa A. Israel, BA, CPC, CUC, CPPM, CMBS, specializes in medical coding and reimbursement for physician practices, as well as billing and collections policies and strategies. Leesa is currently the Audit Training Manager of the Coding Institute’s Consulting & Revenue Cycle Solutions. In this role, she provides auditing, consulting, and education services to practices around the country in a variety of areas, including urology, general surgery, and evaluation...   More Info
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