Who should attend:This interactive two-day training is intended for healthcare practitioners, medical billers, coders, auditors, office managers and IT professionals involved with authoring clinical documentation, generating E&M progress notes, auditing professional physician service claims and maintaining a healthy revenue cycle.
The primary course focus will emphasis documentation guidelines set forth by CMS for reporting Evaluation and Management services (E&M), as defined by CPT. The curriculum will provide attendees with a strong grasp of Evaluation and Management auditing, coding and documentation techniques. The curriculum is designed to assist in development and mastery of the necessary skill set to successfully audit Evaluation and Management (E&M) services. This education and training have been designed to promote compliance and minimize the risk of overpayment post-payment review and 3rd party audit exposure.
Curriculum specifics will include:
? The ?Key Components? associated with E&M code selection
? The differences between the CPT and CMS E&M documentation guidelines
? Discuss the use of utilization benchmarks to target potential risk areas
? Explain the differences between the 1995 and 1997 examination guidelines
? Determining the complexity of medical decision making (MDM)
? The importance to ?link? ICD-10-CM codes to E&M services
? Risks associated with certain EHRs solutions (e.g, coding ?wizards?)
? Distinguishing ?problem-oriented? from ?preventive? E&M services
? What to look for when modifiers are reported with E&M services (e.g., -25)
? How to use a well-constructed audit template to conduct E&M audit/ reviews
? Key steps to present audit findings to providers successfully and non-confrontationally
Overview of the training Day 1 of the program primarily focuses on instruction and review of pertinent source documents (e.g., AMA?s 2018 CPT guidelines and CMS? E&M Documentation Guidelines and the categories of E&M services defined in CPT.
Day 2 of the program will be used to reinforce Day 1 learning objectives while focusing on specific categories of E&M service. There will be a series of hands-on cases for instructor-led audit instruction followed by individual or small group audits of cases presented by class attendees.
2018 CPT (AMA Professional Edition strongly encouraged)
3- 5 HIPAA de-identified E&M cases for potential solo and/or group hands-on review
A printed copy of the CMS Evaluation & Management Services Guidelines
A copy of any internal audit tools, templates, or score sheets currently being utilized by your facility
For added value - bring your own E&M progress notes for solo or small group review so you walk out with completed audits! Please be sure to remove any and all information that can identify the patient- this is known as being HIPAA de-identified.
KPCA Member Fee - $225
This event is not open for non-members at this time. Please email Lindey, firstname.lastname@example.org, to be put on the wait list.