Documentation Appraisal Workshop: Find Errors with Opportunities, Pleasanton, CA, July 14, 2017

Pleasanton, CA US
July 14, 2017

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.

Target Audience

Physicians, Billers, Coders, Office Staff, Practice/ Office Administrators, Non-Physician Practitioners.

Learning Objectives

  • Define types of federal auditing organizations and briefly discuss what can trigger audits.     
  • Discuss common errors found in audits and provide solutions to alleviate the errors.
  • Define and discuss Medicare’s national and local coverage determinations on common endocrine procedures and services such as Diabetes Self-Management Training (DSMT), Continuous Glucose Monitoring (CGM), Vitamin D, HGBA1C, thyroid and lipid testing.
  • Define and discuss the types of evaluation and management codes reported by physicians based on location and provide the elements required for each level visit based on CPT® guidelines. 
  • Define and discuss the key components (history, exam and medical decision-making) in an E/M visit utilizing endocrine specific examples and explanations for 95 and 97 E/M guidelines.   
  • Define and discuss the key components (history, exam and medical decision-making) in an E/M visit utilizing endocrine specific examples and explanations for 95 and 97 E/M guidelines.     
  • This hands on exercise will provide attendees the opportunity to discuss the necessity of clear and appropriate documentation using real life endocrine notes and auditing principles.   
Additional information
Available for MOC Points?: 
No
Practice Area: 
Coding/Practice Mgmt
Course summary
Available credit: 
  • 5.75 AMA
  • 5.75 Attendance
Course opens: 
07/14/2017
Course expires: 
07/14/2018
Event starts: 
07/14/2017 - 9:00am
Event ends: 
07/14/2017 - 4:00pm
Cost:
$0.00
Faculty:Vanessa Lankford, CPC, CMCO, CMOM,  AACE-CEC
  

DAY 1

Documentation Appraisal Workshop: Finding Errors with Opportunities

8:30 - 9:00Registration
9:00 - 9:30Who, What and Whys of Chart Audits
Define types of federal auditing organizations and briefly discuss what can trigger audits.
9:30 - 10:00Looking at Errors for Opportunities of Improvement
Discuss common errors found in audits and provide solutions to alleviate the errors.
10:00 - 10:30Rules and Regulations to Document By
Define and discuss Medicare’s national and local coverage determinations on common endocrine procedures and services such as Diabetes Self-Management Training (DSMT), Continuous Glucose Monitoring (CGM), Vitamin D, HGBA1C, thyroid and lipid testing.
10:30 - 11:00Overview of Evaluation and Management (E/M) Codes
Define and discuss the types of evaluation and management codes reported by physicians based on location and provide the elements required for each level visit based on CPT® guidelines.
11:00 - 12:00Part 1: Documentation Directs E/M Levels
Define and discuss the key components (history, exam and medical decision-making) in an E/M visit utilizing endocrine specific examples and explanations for 95 and 97 E/M guidelines.
12:00 - 1:00Lunch Break
1:00 - 2:30Part 2: Documentation Directs E/M Levels
Define and discuss the key components (history, exam and medical decision-making) in an E/M visit utilizing endocrine specific examples and explanations for 95 and 97 E/M guidelines.
2:30 - 2:45Afternoon Break
2:45 - 4:00Endocrine Note Dissection
This hands on exercise will provide attendees the opportunity to discuss the necessity of clear and appropriate documentation using real life endocrine notes and auditing principles.
Residence Inn
11920 Dublin Canyon Road
Pleasanton, CA 94588
United States

Vanessa M Lankford, CPC-Practice Management Coordinator

AACE, Jacksonville, FL

The American Association of Clinical Endocrinologists (AACE) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Association of Clinical Endocrinologists (AACE) designates this live activity for a maximum of 5.75 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 5.75 AMA
  • 5.75 Attendance

Accreditation Period

Course opens: 
07/14/2017
Course expires: 
07/14/2018

Price

Cost:
$0.00
Please login or register to take this course.