Cleveland Clinic Personalized Training, May 13, 2017, Weston, FL
CMS and third party insurance payers are spending millions of dollars investigating physician billing practices and the federal government is recovering billions of dollars in healthcare fraud related settlements and judgments through the False Claims Act. A large percentage of these recovery efforts are due to miscoding of claims, misunderstanding of policies, rules and regulations. This coding course focuses on current coding and billing guidelines for services and procedures commonly performed by endocrinologists. This course will provide education and hands on activities to learn how to get reimbursed for the services and procedures clinicians provide patients.
Physicians, Billers, Coders, Office Staff, Practice/Office Administrators, Non-Physician Practitioners
- The teaching objective of this segment is to educate on the differences in new and established patients, elements required for an endocrine consultation, and time based coding for evaluation and management services utilized by endocrinologists based on the CPT® book guidelines.
- The teaching objective of this segment is to define the history, exam, and medical decision making key components in an E/M and discuss the importance of medical necessity behind the components utilizing endocrine specific example. This segment provides a detailed description of the 1995 and 1997 E/M guidelines.
- The teaching objective of this segment focuses on medical decision-making (MDM) and provides a view of the elements that make up MDM utilizing endocrine specific examples. This segment also discusses the required elements (yes, it is more than the MDM) to calculate new and established patients for determining levels of service (i.e. 99201-99205, 99211-99215).
- This teaching segment discusses the necessity of clear and appropriate documentation with emphasis placed on supporting medical necessity and appropriateness of coding using endocrine sample notes and auditing principles.
Vanessa M Lankford, CPC- Practice Management Coordinator, AACE, FL
- 4.00 AMA
- 4.00 Attendance
Users will need a computer with an Internet connection, Internet Explorer 8.x or higher, the latest versions of Firefox or Safari, or any other W3C standards compliant browser and occasionally other additional software may be required such as Adobe Acrobat Reader.