Eliminate E/M Pain Points: Conquer Early Challenges and Master Medicare Complexities

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Eliminate E/M Pain Points: Conquer Early Challenges and Master Medicare Complexities

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Eliminate E/M Pain Points

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Eliminate E/M Pain Points: Conquer Early Challenges and Master Medicare Complexities

Live Virtual: Wednesday, March 24, 2021

Your early-2021 E/M problem solver

Stop E/M problems before they happen by joining our expert speakers March 24, 2021, for an in-depth look at E/M pain points.

With the new era of E/M office visit guidelines officially here, medical practices must wrap in critical updates from CMS, Medicare administrative contractors (MAC) and other payers on the fly.

In addition, questions and gray areas about the 2021 guidelines are multiplying as practices begin to code using the new guidelines. For example: How to document independent interpretation of a diagnostic test, how to code visits the same day as an office procedure, what must be documented to count the risk of social determinants of health.

Since the new documentation guidelines became official Jan. 1, CMS is planning a release of its first official "how to" guide, MACs are issuing their own guidance and experts are finding specific "pain points" that practices are confronting within the new structure. Practices also must ensure documentation holds up to new audit standards that are only now coming into focus.

Tune into this one-day virtual session, featuring two separate live Q&As, to find a full rundown of official CMS policy and overcome your early challenges to keep your E/M claims humming without disruption.

Eliminate E/M Pain Points: Conquer Early Challenges and Master Medicare Complexities

Agenda — Wednesday, March 24, 2021

Session 1:
30 minutes
Early Intel: Updates from CMS, MACs and Private Payers
For the first time, CMS is issuing guidance on the 2021 E/M office visit changes, which will help crystallize the agency’s coding, billing and documentation expectations under the new framework. Regional Medicare administrative contractors (MAC) and private payers also are setting rules and releasing guidance. In addition, the AMA has continued to issue guidance that you won’t find in your 2021 CPT Manual. In this session, you’ll find the latest federal, regional and large private payer regulations. Also, find out what the late-breaking COVID omnibus bill means for your claims.

Session 2:
60 minutes
Overcome Medical Decision-Making (MDM) Confusion
Particular elements of the revamped MDM table, such as the “amount and/or complexity of data to be reviewed and analyzed” column, are invoking questions and sowing confusion. Master your MDM approach with an in-depth journey through the table where you will pick apart the elements and sub-elements to find your comfort zone. For example, you will gain clarity on the “reviewing” and “ordering” of tests as well as new documentation pieces of the “risk of complications” category. Also, discover when using MDM (instead of time) makes sense, in relation to your specialty and typical encounters.

Live Q&A
30 minutes

Session 3:
45 minutes
All About Time: From Time-based Activities to Prolonged Services
Time is one of the two elements you can use to report E/M office visit codes in 2021. But what counts toward time? Who can perform these activities, and how should you capture them in the patient record? In addition, you’ll find not one but two new prolonged service codes with different requirements – CPT code 99417 and HCPCS code G2212 – on the books this year. Master them to capture the full time of your encounters. Also, discern when using time (instead of MDM) makes sense, in relation to your specialty and typical encounters.

Session 4:
45 minutes
E/M Audit Risks: How the Landscape Is Changing
You’ll have to balance the risks contained under the 1995/1997 guidelines with emerging threats that are unique to the 2021 guidelines. Under the new rules, will auditors be focusing on your data complexity? Will they find time counting an easy target? Discover what experts are seeing and hearing on the front lines as the industry finds its footing in working with the new guidelines.

Live Q&A
30 minutes

Eliminate E/M Pain Points: Conquer Early Challenges and Master Medicare Complexities


Nancy EnosNancy Enos, FACMPE, CPC-I, CPMA, CEMC, CMC emeritus

Nancy Enos, FACMPE, CPC-I, CPMA, CEMC, CMC emeritus, has 30 years of operations experience in the ever-changing practice management field. As an Approved PMCC Instructor by the AAPC, Enos provides training on CPT® and ICD-10 coding, E/M coding and documentation, encounter form analysis, chart auditing, compliance plan implementation, and various front office and clinical staff seminars. She frequently speaks on coding, compliance, and reimbursement issues to audiences from the provider community, specializing in primary care and surgical specialties. Enos is a Fellow of the American College of Medical Practice Executives and is an independent consultant with the MGMA Health Care Consulting Group in Denver, Colorado.

Doris BrankerDoris Branker, CHC, CPC, CIRCC, CPMA, CPC-I, CANPC, CEMC

Doris Branker is president of DB Healthcare Consulting, a practice management consulting firm that also offers medical coding preparation camps. Doris is a nationally-recognized educator, coding expert, and practice management consultant, as well as an approved educator and PMCC licensed instructor with the AAPC. Her areas of expertise include medical coding, compliance, auditing, billing, and collections management. She holds specialty certifications in E/M, interventional radiology, and cardiovascular coding. She is a top-rated speaker at DecisionHealth’s in-person anesthesia and pain management conferences.

Shannon E. McCallShannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, CCDS-O

Shannon is the director of HIM and coding for Simplify Compliance. She oversees the Certified Coder Boot Camp® programs. She is the developer of the Certified Coder Boot Camp® – Inpatient Version and the Evaluation and Management Boot Camp®. Most recently she worked in collaboration with the CDI team to develop the Risk Adjustment Documentation and Coding Boot Camp®. As a consultant for HCPro, a division of Simplify Compliance, Shannon works with hospitals, medical practices, and other healthcare providers on a wide range of coding-related issues with a particular focus on education, coding reviews and audits.

Shannon has extensive experience with coding for both physician and hospital services. Prior to joining HCPro, she worked for a national medical practice management company, where her duties included serving as a client manager and as an instructor for the in-house coding training. Shannon also previously worked for a national consulting firm focusing on hospital inpatient, outpatient and ER services.

Shannon is accredited as a Registered Health Information Administrator and a Certified Coding Specialist and a Certified Coding Specialist – Physician by the American Health Information Management Association. She is also accredited as a Certified Evaluation and Management Coder, Certified Professional Coder, Certified Risk Adjustment Coder and is an approved instructor of the Professional Medical Coding Curriculum by the American Academy of Professional Coders. She is certified as a Certified Clinical Documentation Specialist and has served as an advisory board member of the Association of Clinical Documentation Improvement Specialists (ACDIS). McCall served on the exam development committee for the CCDS-Outpatient certification exam. Shannon holds a Bachelor of Science in Health Information Administration degree from the Medical University of South Carolina.

Eliminate E/M Pain Points: Conquer Early Challenges and Master Medicare Complexities

Continuing Education

This program is preapproved by the Board of Medical Specialty Coding & Compliance (BMSC) for 3 CEUs towards the maintenance of the ACS, SCP and CCP-P credentials.