*agenda subject to change
1:00pM — 2:30pM
Office and Inpatient E/M
- Categories of E/M: Outpatient and Inpatient
- Outpatient E/M coding and Documentation: Using Medical Decision Making or Time to Determine Level of Service
- Using Time or Medical Decision in the Outpatient setting: Dealing with interpretation and other issues
- Interpreting the Elements in Medical Decision Making
- Element #1: Number and Complexity of Problems Addressed
- Do more problems mean a higher level of E/M?
- Differentiating between exacerbation and severe exacerbation
- Documenting problem severity
- Element #2 Data to be Reviewed and Analyzed
- Order and review, can both be “counted”?
- When can interpretation of results be counted?
- External notes, when do they count and can more than one be counted?
- Element #3 Risk of Complications and/or Morbidity or Mortality of Patient Management
- Defining level of Risk: what does CPT say?
- Documenting level of Risk. Do the current Risk table examples still apply?
- How do test and treatment decisions impact co-morbidity and risk?
Inpatient and Outpatient Consultation Coding: Using History, Exam and Medical Decision Making to Determine Level
- Inpatient E/M Guidelines
- Levels of E/M Codes (History, Examination, Medical Decision Making)
2:30pM — 2:45pM
2:45pM — 3:45pM
Medicare’s Revised Guidelines for Split Shared Billing NEW!
- In the facility (ED, observation, inpatient)
- In the office/clinic
- What about provider-based clinic?
- Applying modifier FS
3:45pM — 5:00PM
Critical Care Coding Changes NEW!
- Medicare changes to Critical Care Guidelines
- Billing during the global period. How is modifier FT used?
- Billing split/shared in critical care; how does this work?
- Audits and Critical Care