Live Virtual Evaluation and Management Boot Camp—Professional Version™

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Live Virtual Evaluation and Management Boot Camp—Professional Version™

Product Code: EMBV

The Live Virtual Evaluation and Management Boot Camp—Professional Version™ moves beyond the basics. It provides detailed information on the fundamentals and intricacies of E/M coding and shows you how to perform effective audits.


Interested in this class? Contact us to be put on a notification list when a new date is added at
PD-IS@SimplifyCompliance.com

Live Virtual Evaluation and Management Boot Camp—Professional Version™

Course Overview

For the first time in more than two decades, there are huge changes to evaluation and management (E/M) office or other outpatient visit code categories (99202-99215). CY 2021 brings a new model of coding, documentation, and payment.

Is your organization ready for the changes? This class will get you ready!

The Live Virtual Evaluation and Management Boot Camp—Professional Version teaches coders, billers, auditors, and practice managers how to interpret documentation relative to national carrier guidelines, apply rules accurately, and ensure appropriate E/M category and level assignment.

In this in-depth class taught in real-time by renowned coding instructor Shannon McCall, you will learn how to:

  • Select the correct E/M codes based on the documentation provided
  • Explain the documentation requirements for all E/M levels
  • Append appropriate modifiers to E/M codes
  • Apply "teaching physician" rules correctly
  • Identify key areas to conduct a successful E/M audit
  • Interpret national and local carrier guidelines
  • Prepare for the Certified Evaluation and Management Coder (CEMC) exam


Ensure your E/M coding stays up-to-date with the changes by attending this critical training so you understand the changes to the documentation guidelines for code level selection for these categories, the most commonly reported CPT codes. The guidance embodied in the 1995 and 1997 CMS E/M documentation guidelines will sunset for physician providers, medical practices, coders, billers, auditors, payers, and other stakeholders.

Starting January 1, 2021, the vital components of code level selection—namely, the history and exam components—no longer factor into level selection. Determining a level of E/M service will come down to one of two options: basing the level of service on medical decision-making (MDM) or time.

This intensive four-day course goes beyond the basics and dives right into the many gray areas of E/M to make sense of conflicting information between CMS and local carriers. Armed with this information, you’ll be able to:

  • Tackle the subjectivity associated with the most commonly reported (and audited!) CPT® codes—E/M services
  • Accurately interpret the rules 


How does the Live Virtual Boot Camp work?
 

Experienced instructor Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, CCDS-O, leads this four-day interactive class that includes practical scenarios as well as the opportunity to have your questions answered.

The course will be conducted via GoToWebinar. Class runs from 12:00 p.m. – 4:30 p.m. Eastern Time.

Please note: Four days before class starts, you will receive a welcome email that includes the dial-in information for the class.

Class is held Monday – Thursday from October 12 – October 15. Registration cut-off date: 10/8/2020

Live Virtual Evaluation and Management Boot Camp—Professional Version™

Course Outline/Agenda

Module 1—Introduction to E/M

  • SOAP vs CHEDDAR notes
  • New vs. Established Patients
  • E/M in group practices
  • Telehealth services
  • E/M associated modifiers
    • –24 (Unrelated Evaluation and Management Service by the Same Physician During a Postoperative Period)
    • -25 (Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service)
    • –32 (Mandated Services)
    • –57 (Decision for Surgery)
    • –Q5 and Q6 (Reciprocal and Fee for Time)


Module 2—Introduction to E/M Categories

  • Office or Other Outpatient Services
  • Consultations
    • Office or Other Outpatient Consultations
      • Medicare guidance
    • Inpatient Consultations
      • Medicare guidance
  • Hospital Inpatient Services
    • Initial Hospital Care
    • Subsequent Hospital Care
    • Hospital Discharge Day Management
    • Observation or Inpatient Services (admission and discharge on same date)
  • Hospital Observation Services
    • Initial Observation Care
    • Observation Care Discharge Services
  • Time Based Codes
    • Critical Care Services
      • Bundled services
      • Time calculation
      • Separately reportable procedures
    • Prolonged Services
  • Age–Based Codes
    • Preventive Medicine Services
      • Annual Physicals
    • Inpatient Neonatal and Pediatric
      • Critical Care Services
      • Initial and Continuing Intensive Care Services
  • Newborn Care Services
  • Emergency Department Services
  • Nursing Facility Services
  • Care Management Services


Module 3—Assigning E/M levels based on Key Components & Time

  • History
    • Chief Complaint
    • History of Present Illness
      • 1995 vs. 1997 (difference)
    • Review of Systems
    • Past Personal/Family/Social History
  • Examination
    • 1995 (Organ system & body areas)
    • 1997 (Exam types by "counting bullets")
  • Medical decision making
    • Number of Presenting Problems
    • Data Ordered/Reviewed
    • Table of Risk
  • Counseling and Coordination of Care
  • Proposed CY 2021 E/M Office Visit level selection


Module 4—Non Physician Practitioner (NPP/Teaching Physicians E/M Services

  • Incident–to
  • Split/Shared Visits
  • 99211 Reporting
  • Physician at Teaching Hospital (PATH) Rules
  • Attestation documentation requirements
  • Time based codes
  • Primary exception documentation requirements
  • –GC modifier usage (Resident/teaching physician service)
  • –GE modifier usage (Resident Primary Care Exception)


Course Outline/Agenda subject to change.

Live Virtual Evaluation and Management Boot Camp—Professional Version™

Learning Objectives

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

  • Select the correct E/M codes based on the documentation provided
  • Explain the documentation requirements for all E/M levels
  • Append appropriate modifiers to E/M codes
  • Apply "teaching physician" rules correctly
  • Identify key areas to conduct a successful E/M audit
  • Interpret national and local carrier guidelines

Live Virtual Evaluation and Management Boot Camp—Professional Version™

Continuing Education Credit

AAPC
This program has prior approval of the AAPC for 15 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the AAPC of the program, content or the program sponsor.

American Health Information Management Association (AHIMA)
This program has been approved for 15 CE credits for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). 

American Nurses Credentialing Center (ANCC)
HCPro is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. 
This educational activity for 15 nursing contact hours is provided by HCPro. 

California Board of Registered Nursing
HCPro is approved by the California Board of Registered Nursing to provide 18 nursing contact hours. California BRN Provider #CEP 14494. 

Disclosure Statement:
HCPro has confirmed that none of the faculty/presenters, planners, or contributors have any relevant financial relationships to disclose related to the content of this educational activity.

Live Virtual Evaluation and Management Boot Camp—Professional Version™

Questions/Answers

What is the focus of the Evaluation & Management Boot Camp—Professional Version?
The Evaluation & Management Boot Camp—Professional Version will teach you the fundamentals and intricacies of E/M coding and how to perform effective E/M audits. The course goes beyond the basics and dives right into the many gray areas of E/M to expose conflicting information between CMS and local carriers. This intensive, on-site training course is geared to both coding and auditing professionals. The class will show how to evaluate documentation relative to national and local carrier guidelines with a strong emphasis on interpreting rules accurately, and how to maximize E/M audits. 

What computer set-up do I need to attend this class?
This will be hosted on the GoToMeeting platform. Attendees should have access to a computer that has a microphone and speakers to participate, there is also an option to dial-in over a phone line if you need to connect on your phone. You can read the full system requirements for GoToMeeting by visiting https://support.goto.com/meeting/help/system-requirements-for-attendees-g2m010003. You can also test your system by visiting https://support.logmeininc.com/gotomeeting/get-ready.

Does HCPRO offer the Evaluation & Management Coding Boot Camp—Professional Version as an on-site course?
In addition to our open registration courses, we also offer the Evaluation & Management Coding Boot Camp—Professional Version as an on-site program (with a substantial discount) for organizations that have a number of employees who need training. For more information on hosting an on-site Boot Camp, click on Host an On-Site Course

What if I need to cancel or transfer my registration?
Cancellation Policy

Please click here to view our cancellation policy.

Who typically attends the Evaluation & Management Coding Boot Camp—Professional Version?

  • Coders and billers
  • Patient accounting managers/staff
  • Medical practice managers/staff
  • Medical records/health information managers/staff
  • Registration managers/staff
  • Clinical managers and department heads
  • Physicians, NPs, PAs, and other clinicians
  • Compliance officers and auditors
  • Finance and reimbursement managers/staff
  • Healthcare consultants, CPAs, and lawyers
  • Health plan and insurance company personnel
  • Medicare carrier and intermediary personnel


What material does the course cover?
To view the course outline, click on "Course Outline" above.

Does the course require any previous coding experience?
No. The course starts with coding fundamentals and does not assume that participants have any particular background or experience. However, because of the fast-paced nature of the course, it is recommended (but not required) that Evaluation & Management Boot Camp—Professional Version participants have at least one year of experience working in the healthcare industry in a billing-related, administrative, or clinical position.

How is the course taught?
The course is taught using a combination of lecture, class discussion, and case studies.

You will need a current CPT manual for the class. You may order this book through HCPro by clicking here.

Does this course cover both professional and technical E/M coding?
No, this course will focus on the professional services portion of E/M coding only.

Does HCPro ever share contact information (e.g., name, address, phone number, email address, etc.) with other companies?
Historically, we have not shared contact information with anyone outside of our company. However, it is possible that at some point we might share contact information with other companies that offer products and services that we think would be of interest to our customers. If you would like us to keep your contact information confidential, please let us know so that we can flag your information in our customer database as "Do Not Share."

How do I get more information:
Contact customer service at 800-650-6787 or email customer@simplifycompliance.com.