FRIDAY PM

2023 AAOS Confident E/M and Office Coding

Agenda

*agenda subject to change

1:00 pm - 1:30 pm

E/M Service Categories

  • When to bill which category?
  • What specialties/subspecialties support a new vs. established pt?

1:30 pm - 2:30 pm

E/M Levels of Service: Office and Outpatient Setting (99202-99215)

  • Time Criteria
  • MDM Criteria – Key Definitions and 2021 Technical Corrections
  • Example Scenarios for E/M 2021 in the office   

2:30 pm - 3:00 pm

2023 E/M Changes for Inpatient, Observation, Consultations, and Emergency Department

  • MDM Criteria – Key Definitions (Inpatient, Observation, Consultations, Emergency Department, and more)
  • Time Criteria for applicable categories

3:00 pm - 3:15 pm

Break

3:15 pm - 3:30 pm

E/M Modifiers 24, 57, 25

  • Modifier 25 with E/M services and joint injections
  • When shouldn’t E/M services and procedures be reported together?
  • Appeal strategies for E/M and office procedures.

3:30 pm - 4:00 pm

Injection Coding

  • Joint injections
  • Tendon sheath/ligament
  • Trigger Point injections
  • Intramuscular injections
  • Drug billing with J codes

4:00 pm - 4:30 pm

PA and NP Billing for Medicare

  • Define “incident to”, split/shared, and direct reporting
  • 2022 CMS changes for split/shared
  • Differentiate billing options for office and hospital places of service
  • Learn the new CMS modifier used for split/shared

4:30 pm - 5:00 pm

Radiology

  • Does your radiology interpretation stand up to scrutiny?
  • Understand requirements for reporting a global x-ray service

5:00PM

Adjourn

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Coding Coaches