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Arkansas Community Health Evaluation & Management

4/2/2020
When: April 2, 2020
9:00 am - 3:00 pm
Where: Hilton Garden Inn Little Rock Downtown
322 Rock Street
Little Rock, Arkansas  72202
United States

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E/M 2021 Updates & Changes

Objectives:

This interactive 1-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 has been designed to promote compliance and minimize the risk mitigation associated with 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, “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 reviews

Key steps to present audit findings to providers successfully and non-confrontationally

 

IMPORTANT! - For added value - bring your own 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.

Attendee Responsibilities:  Each attendee is expected to present to class with the following:

 

2020 CPT (AMA Professional Edition strongly encouraged)

Up to 5 HIPAA de-identified E&M cases for potential solo and/or group hands-on review

2 highlighters

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

CEU– 5.5 CEUs approved by AAPC & ArchProCoding

 

CME – 5.5  (Continuing Medical Education) Credits for MD, DO, NP, PA, RN:

*This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the University of Nevada, Reno School of Medicine and Association for Rural & Community Health Professional Coding.  The University of Nevada, Reno School of Medicine is accredited by the ACCME to provide continuing medical education to physicians. The University of Nevada, Reno School of Medicine designates this live activity for a maximum of 5.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

 

Agenda 8:30 a.m. – 4:30 p.m.

Overview and CPT E&M Instructions

Defining time in the inpatient/outpatient settings

When to use CPT vs. CMS E&M DocumentationGuidelines

Preventive versus Problem-Oriented E&M Services

Documenting valid chief complaints

History of Present Illness and Review of Systems (HPI/ROS)

Past, Family, Social History (PFSH)

Hands-on Exercises and QA

1995 vs 1997 CMS Examination Guidelines

Geographic considerations (e.g., MAC Guidance)

Medical Decision Making and Medical Necessity

The role of EHRs and coding software in the auditing process

Time based E&M coding

Review of all remaining CPT E&M categories

Reinforcement of “key” components, modifiers, and global surgical package considerations

Overview the ArchProCoding Audit Tool

Accurate completion of the E&M Audit tool

Instructor-led cases for audit

Individual and group audit exercises

Proficiency Exam – You will have access to a optional 50 questions proficiency exam after the completion of the bootcamp. The exam will be online and you will receive a certificate of completion

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ARHPC is a division of Universal Medical & Compliance, LLC
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Education :: Certification :: Audit Support

 

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