Navigating Complex ED Coding and Billing Scenarios- On-Demand

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Navigating Complex ED Coding and Billing Scenarios- On-Demand

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Navigating Complex ED Coding and Billing Scenarios

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Now Available ON-DEMAND

Presented on:
Thursday, October 25, 2018
1:00–2:30 p.m. Eastern

Presented by:
Nena Scott, MSEd, RHIA, CCS, CCS-P, CCDS

Felisa M. Tennant, MIS, RHIA, CCS, CHPS

Sponsored by:

The ED is a fast-paced environment that presents unique coding and billing challenges. EDs are open 168 hours a week, 365 days a year and have specific standards for documenting E/M services. Coders and billers must be able to decipher complex documentation, interpret facility rules and regulations, and communicate with providers to reduce audit risk.

During this 90-minute webinar, Nena Scott, MSEd, RHIA, CCS, CCS-P, CCDS, and Felisa M. Tennant, MIS, RHIA, CCS, CHPS, will review integumentary and musculoskeletal anatomy to explain potentially confusing procedural documentation elements. They will then review coding and reporting guidance for services commonly performed in the ED and billed by facilities, including ICD-10-CM code assignment for fractures, burns, wounds, and other injuries to the skin and musculoskeletal system. CPTÒ and ICD-10-PCS code assignment for surgical treatments, including lacerations, debridement, and the removal of foreign bodies, will also be reviewed. The speakers will discuss challenges unique to the hectic ED environment and answer questions from audience members during a live Q&A session to follow the presentation.

At the conclusion of this program, participants will be able to:

  • Describe the anatomy of the integumentary and musculoskeletal systems
  • Apply updated guidance on coding and billing for ED diagnoses and procedures
  • Assign CPT, ICD-10-CM, and ICD-10-PCS codes for a variety of common ED services
  • Determine how to report consistent facility E/M visit levels based on CMS standards
  • Explain documentation requirements for commonly performed ED procedures, such as fractures, removal of foreign bodies, and burns


  • E/M visit coding and billing in the ED
    • Determine facility visit levels based on CMS guidance
    • Review medical record documentation for accurate code assignment
  • Overview of integumentary and musculoskeletal anatomy
    • Examine the different parts of the musculoskeletal system and documentation for common injuries 
    • Learn about the subcutaneous layers and common treatments for wounds, burns, and removal of foreign bodies
  • ICD-10-CM coding and provider documentation
    • Review diagnosis coding for fractures, wounds, burns, dislocations, and lacerations 
  • CPT and ICD-10-PCS documentation and coding for common ED procedures
    • Review codes for wound repairs, debridement, removal of foreign bodies, open and closed fracture repairs, and treatment for dislocations      
  • Unique ED coding and billing challenges 
    • Report critical care services for critically ill or injured patients
    • Learn tips to avoid undercoding based on provider documentation that is lacking in specificity
  • Live Q&A


Who Should Listen?

  • HIM directors and managers
  • Coding managers
  • Outpatient coders
  • Outpatient billers
  • Auditors
  • Revenue cycle directors
  • Compliance officers
  • Chargemaster coordinators
  • Office managers
  • Clerical staff
  • Physicians
  • Physician assistants  
  • Finance managers
  • Clinical staff
  • Nursing staff

Continuing Education

(Live + On-Demand) This program has the prior approval of AAPC for 1.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

Ability to claim credits for this webcast expires on: 10/24/2018

(Live + On-Demand) This program has been approved for 1.5 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor. **

Ability to claim credits for this webcast expires on: 10/24/2019

Meet the Speakers

Nena ScottNena Scott, MSEd, RHIA, CCS, CCS-P, CCDS, AHIMA-approved ICD-10-CM/PCS trainer, is director of coding quality and professional development at TrustHCS. She is an accomplished trainer with over 24 years of experience in educating HIM professionals. As a member of the Mississippi Health Information Management Association, she was recognized with the Champion award in 2010, Educator award in 2009, and Distinguished Member award in 2007.



Felisa TennantFelisa M. Tennant, MIS, RHIA, CCS, CHPS, AHIMA-approved ICD-10-CM/PCS trainer, is the coding education specialist for TrustHCS and has been in the HIM profession for 20 years. Her experience includes coding, auditing, and course instruction/development within HIM programs. Her course instruction/development includes ICD-10-CM/PCS and CPT along with HIM management, medical terminology, and numerous other courses required for an accredited HIM program. Tennant has earned a master’s degree in information science and holds Registered Health Information Administrator, Certified Coding Specialist, and Certification in Healthcare Privacy and Security designations. Currently, Tennant is accountable for the internal mentoring and education of coders in areas pertaining to ICD-10-CM/PCS and CPT code assignment. Her other responsibilities include assisting with the TrustHCS Learning Management System and external coder development.


Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

No problem. The On-Demand version will be available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value! 

Participation in the webinar is just $259 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email if you have questions.