Coding for Special E/M Services

HEALTHCARE Jul 29, 2020 90 minutes
01:00 PM EST 12:00 PM CST 11:00 AM MST 10:00 AM PST

Description:-

With the shifts in healthcare spending, other unusual patient visits for care, decreasing reimbursements, and physician shortage, many urologists are looking at other sources of billing for visits that they may have not billed in the past. The definition and correct billing and coding for these visits becomes important to urologists in general and specific types of urological practice...helping them to remain compliant with increasing payments for hidden but payable services and avoiding denials and loss of revenue. Didactic presentations and clinical scenarios will enlighten the attendees' knowledge and add to their understanding of the codes to use and when these visits are fully payable. Included in these special visits will be consultations, use of incident to visits, shared visits, emergency room visits, critical care, use of observation services, and coding for hospice care. Today many of these services are not at all billed or coded incorrectly with loss of revenue, denials, or the necessity to refund money because of improper coding and reimbursements. 

Tips on the proper coding of these special and often unappreciated services and CPT codes will be reviewed and explained in detail often using clinical examples to enhance understanding and knowledge of these special services.

Areas Covered:-

  • How knowing the shared visit rules can save you lost revenue 
  • The differences between "shared" and "incident to" visits
  • Submit NPP services and receive 100% global payments
  • Learn how to bill observation services
  • When can you bill "incident to" services
  • Review an "incident to" audit list provided as a template for clearer understanding 
  • When and how should one code for an emergency consultation in the emergency room
  • How should one code for a consultation for a patient in observation care
  • In what place of service should observation care be billed
  • What CPT codes should we now use for repeat consultations in the hospital
  • What is required to bill for critical care services
  • and much more....

Who should attend?

  • Physicians in General Practice
  • Urologists
  • Urogynecologists
  • Non-physician Providers
  • Pediatric Urologists
  • Surgeons
  • and all office and billing staff who code and post for carrier E/M payments.

 

Presenter BIO

Dr. Michael A. Ferragamo, Jr., MD, FACS is the former chief of urology of Hempstead Medical Center and of Franklin Medical Center of Long Island, New York, and presently is assistant clinical professor of urology, State University of New York, Stony Brook School of Medicine. Dr. Ferragamo is a consulting editor for Urology Coding Alert and is a coding consultant for many private practices across the United States as well as a coding consultant for several academic institutions such as the Lahey Clinic, Burlington, Mass., Intermountain Urology in Utah, NYU Urology in New York City, and Duke Urology, Durham, North Carolina to name a few.

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