AUDIOCONFERENCE ON CD OR AUDIO ON-DEMAND
Sponsored by Briefings on APCs
presented on June 25, 2008
With the large variety of hospital-based outpatient clinics out there—including general/primary care, wound care, and oncology/infusion--hospitals are challenged to develop appropriate E/M leveling systems for a variety of service lines. In addition, CMS has issued 11 guidelines that you must incorporate in your clinics this year.
While that should make it easier to assign levels and appropriate charges for clinic visits, it’s an area that is fraught with compliance risk. Not only do the CMS guidelines open the door to audit scrutiny, there are also the usual coding and billing problems, including:
- Appropriate use of modifiers and condition codes
- Billing multiple visits on the same day
- Billing repetitive or recurring services
Listen to expert speakers, Susan Garrison, CCS-P, CHC, FCS, PCS, CPC, CPC-H, CPAR, and Sarah L. Goodman, MBA, CPC-H, CCP, FCS, for a comprehensive review of the guidelines and what they mean to your hospital. They offer examples of clinic E/M levels that include CMS’ 11 guidelines, explain the proper use of modifiers -25 and -27, and give you advice on self-auditing clinic E/M claims to ensure compliance.
Note: This is an intermediate-level program. Purchasers should have a basic knowledge of facility E/M billing and how to use condition/value/occurrence codes and modifiers.
TAKE A LOOK AT THE AGENDA
- General CMS guidelines
- 2008 OPPS update
- Maintaining compliance with new CMS guidelines
- Potential for future FI/RAC audits
- Addressing the elimination of consult codes for hospital OPPS billing in 2008
- Common facility based clinics
- General/primary care clinic
- Sample services by visit level
- Compliance concerns
- Wound care clinic
- Sample services by visit level
- Compliance concerns
- Oncology/infusion clinic
- Sample services by visit level
- Compliance concerns
- Sample coding/billing scenarios
- Pinpointing separately identifiable E/M visits and appropriate use of modifier -25
- Choosing appropriate level of service
- Handling multiple visits in a given day and condition code G0/modifier -27
- Other coding/billing nuances
A question and answer session follows the presentation.
LEARNING OBJECTIVES
At the conclusion of this audioconference, you will be able to:
- Establish objective clinic E/M criteria
- Detail some sample services per level in various clinic settings
- Describe how to handle the elimination of consultation codes
- Code separate E/M clinic visits when appropriate
- Explain the appropriate use of condition code G0
- Explain when to use modifiers -25 and -27
FEATURED SPEAKERS
Susan Garrison, CCS-P, CHC, FCS, PCS, CPC, CPC-H, CPAR, is executive vice president of healthcare consulting services at Magnus Confidential in Atlanta, GA. She has more than 25 years of experience in healthcare management, including the areas of documentation, coding, billing, and reimbursement for both outpatient hospital and physician services.
Sarah L. Goodman, MBA, CPC-H, CCP, FCS, is president/CEO and principal consultant for SLG, Inc., a nationwide consulting firm headquartered in Raleigh, NC. She is a nationally-known speaker and author on the charge description master (CDM), CPT®/HCPCS coding, and billing compliance, and has more than 25 years experience in the healthcare industry.
BONUS MATERIAL INCLUDED IN YOUR MATERIALS PACKET
In addition to the expertise and advice presented during this audioconference, you'll also receive a slide presentation of the program materials and a step-by-step E/M compliance implementation plan. These materials are provided with PDF links.
WHO SHOULD LISTEN?
HIM directors, outpatient coders, hospital-based clinic billing staff, coding managers, chargemaster coordinators, compliance department staff, finance officers, and clinical charge capture staff.
AUDIO ON-DEMAND
In addition to the regular purchase option for HCPro audioconferences, we are pleased to offer another option, an audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase a CD or audio on-demand of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.
Save money when you purchase multiple copies! Ask your customer service representative about money-saving
discounts and bulk orders. Call toll free 800-650-6787 or e-mail
customerservice@hcpro.com.
