Training Options Duration: 90 Minutes
Friday, September 7, 2018 | 10:00 AM PDT | 01:00 PM EDT
Overview: Evaluation and Management codes are often vulnerable to third-party auditor scrutiny. Payers frequently use different types of analyses to identify outliers with E/M coding, such as physicians who bill higher-than-normal levels of more intensive codes. Other auditors, such as Recovery Auditors, Medicare Administrative Contractors, and Zone Program Integrity Contractors often follow the same process to use this same type of data to calculate from analytics.
Given the increased scrutiny of these codes, it's important to be confident with E/M and other coding that it is reflective of the accurate documentation during the patient encounter.
During this webinar, we will revisit E/M coding guidelines and other top office services for Behavior Health professionals. There will be sample scenarios used during the webinar to help define the reason for the patient encounter documentation requirements that meet the definition of the code.
Why should you Attend: According to the CMS documentation audit tool, medical necessity is the overarching criterion in determining the level of service to bill, along with the individual requirements of a particular CPT code.
It would not be appropriate to document and bill a higher level of service when a lower level of service is warranted. Nor should the volume of documentation be the primary influence for which level of E/M service is billed.
Due to increasing audits with E/M coding and documentation, each provider should be asking the question, "Does my documentation truly justify the services rendered, and are those services medical necessary for the diagnosis treated?
Areas Covered in the Session:
E/M documentation guidelines
Review all the key components of choosing the accurate code
When is it appropriate to bill two types of CPT codes
Meeting coding and documentation requirements for time-based psychotherapy services
Key documentation points for supporting the code for Interactive Complexity
Documentation focus and coding for Family therapy
Medical record templates and medical necessity
Sample Behavior Health scenarios used in presentation
Who Will Benefit:
Physician
Billers/Coders for Behavior Health
Compliance Officers
Speaker Profile
Pamela Joslinhas more than 20 years of medical practice management, billing and coding, auditing and compliance experience. She is an engaging presenter via webinar, classroom, and conference on every topic that may impact each step in the life of the revenue cycle of every practice. She has managed in medical practices ranging from single to multi-specialty groups, including ASC. She is an advocate of process improvement and maximizing and empowering employees to bring about the "best practice” results for your organization.
She received her Master’s in Management from University of Phoenix. Pam maintains memberships in professional organizations to support her continuing cycle of learning in the ever-changing healthcare industry.
Price - $139
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Netzealous LLC - MentorHealth
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