3-hr Virtual Seminar: Coding Evaluation and Management Services to Survive an Audit

Why Should You Attend:

Payer audits are inevitable in today’s healthcare environment. Third-party payers are looking for old dollars to pay new claims. This webinar will equip you with the tools you need to successfully document and code E/M services in the inpatient and outpatient setting. This training will break down E/M documentation and code selection into easy, manageable steps with immediate application.

By the end of this course, you will be able to document and code E/M services with confidence. Don’t miss this important training opportunity to protect your revenue!

Healthcare providers are struggling to keep revenue from being recoupled by payers, while still meeting detailed criteria for meaningful use and quality reporting. Electronic health records are leading providers to spend time documenting elements that are not medical necessary to treat the patient’s condition and may result in over coding. This course will cover the key components of documentation needed to meet each level of service in the inpatient and outpatient settings.

Areas Covered in the Webinar:

• INTRODUCTION TO E/M AND THE HISTORY KEY COMPONENT
  • Introduce E/M documentation requirements
  • Learn why establishing medical necessity in the Chief Complaint is essential
  • Discuss the eight elements in the History of Present Illness (HPI)
  • Identify the appropriate elements needed in Review of Systems (ROS)
  • Recognize elements of Past Family Social History (PFSH)
  • Understand how to put these all together and select the level of History
  • Look at a variety of HPI examples from different specialties

  Ask questions about the History Key Component

• EXAM KEY COMPONENT
  • Explore the differences between the 1995 and 1997 E/M Guidelines
  • Discuss specialty exam templates and cautions of EHR recommended codes
  • Determine the most effective way to support the level of Exam
  • Review a variety of Exam examples from different specialties

  Ask questions about the Exam Key Component

• MEDICAL DECISION-MAKING KEY COMPONENT
  • Identify the three elements of Medical Decision Making (MDM)
  • Learn how to document each MDM element to withstand an audit
  • Find out how to calculate the level of MDM
  • Go over real MDM examples

  Ask questions about the MDM Key Components

• DOCUMENTING AND SELECTING YOUR LEVEL OF E/M SERVICE
  • Learn how to select the correct level of E/M service based on the three key components in any location
  • Go over real E/M examples from a variety of specialties
  • Understand billing based on time and what you must document to do so
  • Review important E/M modifiers to ensure appropriate payment
  • Discuss preventive and problem-oriented visits performed on the same day
  • Recognize why internal audits are essential.

Who Will Benefit:

This course is designed for Physicians, Nurse Practitioners, Physician Assistants, Certified Nurse Midwives, Clinical Nurse Specialists, Practice Administrators, Office Managers, Billing Office Staff, Coders, and Compliance Auditors.

Carol Hoppe
President and CEO, MedLucid Solutions LLC

Carol Hoppe, CPC, CCS-P, CPC-I has 15 years of experience auditing Evaluation and Management (E/M) services and training physicians on E/M documentation guidelines.

As a healthcare consultant, Carol Hoppe focuses on helping medical practices with billing, coding, documentation, and practice management solutions. Having been in healthcare for more than 25 years, she has worked with hundreds of different specialty and primary care physicians. Carol provides billing, coding, and compliance audits and education for physicians and staff. She has extensive hands-on practice experience in transcription, billing, collections, office management, director roles and consulting services.

Carol holds a BS in Business Management from Indiana Wesleyan University, where she graduated with honors, Summa Cum Laude. She is a Certified Professional Coder (CPC) and a Certified Professional Coding Instructor (CPC-I) through the American Academy of Professional Coders (AAPC) and a Certified Coding Specialist-Physician-Based (CCS-P) through the American Health Information Management Association (AHIMA).

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