Auditing E and M Outpatient Visits in 2021: Cardiology and Peripheral Vascular Recorded Webinar | Jim Collins | From: May 07, 2021 - To: Dec 31, 2021 |
Maximize your 2021 E&M Office and Other Outpatient visit revenues by learning how to correctly code and document your patient encounters and effectively self-audit your providers in cardiology specialty practices.
There are numerous pre- and post-payment audits by the Centers for Medicare and Medicaid Services (CMS) each year. Built into the Medicare Integrity Program (MIP), these audits promote the integrity of CMS programs and the Children's Health Insurance Program (CHIP). Under MIP, both CMS and the Office of Inspector General (OIG) may conduct random audits, as well as audits that target suspicious or anomalous data. For cardiology practices, preparing now for these future audits keeps you proactive and ready should you be contacted to support your payments for E&M services.
In 2021 a great deal of risk stems from the implementation of new CPT® coding rules for Office and Other Outpatient E&M visits. This has spawned widespread confusion, not only about choosing codes that accurately reflect the level of service provided but about how to support code assignments with physician documentation that precisely and completely captures the patient encounter in all of its complexities. Auditors are challenged when the record is not clear or detailed enough. If a provider states three chronic conditions in the HPI and also lists a new onset of lower extremity edema, can you add those together to go from a moderate to the high patient presentation of problems addressed under MDM? Or, if the physician documents ordering several tests, reviewing labs, and speaking to an external provider on behalf of the patient, can you count them separately when leveling an E&M service under the Data Points (MDM) under new guidelines, or do you only get credit for one point collectively for tests ordered/reviewed? To ensure accuracy in your reimbursement, your documentation, reporting, and coding practices, you must have a firm understanding of the correct answers to these and other crucial questions.
Ensure full compliance and supported payments by joining us for this session through key elements of auditing your records, pertaining to 2021 E&M Guidelines for Office and Other Outpatient visits (CPT codes 99205-99215) — and specifically addressing cardiology and peripheral vascular services. From the presentation, supplemented by real-life E&M examples, you'll take away proven strategies, along with tips and tools to help you protect a major revenue source.
Learning Objectives:-
Why Should You Attend?
Cardiology practices are among the top billers of E&M services — which also makes them prime audit targets by Medicare and other payers. Here's the kicker: Their auditors have been remarkably successful at extracting sizable refunds from providers. Conversely, you may be missing out on significant revenues — including an 18% average increase in RVUs for 2021 — due to erroneous reporting. Securing the maximum legal payment starts with understanding how you should be leveling your services, based on time or new medical decision-making (MDM) criteria. With guidance from this webcast, you will be empowered to keep your documentation and coding compliant and accurate.
Who Should Attend:-
Physicians, non-physician/advanced practitioner professionals, medical providers, coders, billing and collections staff, practice administrators, compliance staff, clinical documentation integrity auditors, and payers.
Jim Collins, CPC, CCC
Cardiology Coding Education & Chart Auditing
Jim Collins has over 20 years of experience helping physicians understand the best way to document and code their services. Please keep him in mind for your compliance program needs.
In addition to being a cardiology documentation and coding consultant for over fifteen years, Jim was a Cardiology Coder at Novant Health (Winston Salem, NC), the Coding Supervisor at Saratoga Hospital (Saratoga Springs, NY), a Compliance Analyst at The Care Group (Indianapolis, IN), and the Compliance Officer of Mid Carolina Cardiology (Charlotte, NC).
Jim has trained thousands of physicians, coders, and administrators how to document and code accurately. Jim has been a professional speaker for medical device companies and specialty societies for over 15 years. He proficiently facilitates productive conversations on the topics of documentation, coding, and medical necessity/coverage. Presentations frequently trigger change in physician and coder behaviors that reduce regulatory exposure, improve the accuracy of charge capture, and eliminate administrative burdens. Jim helps to facilitate higher quality, lower cost care.
Jim wrote the study guide and certification exam for the American Academy of Professional Coders (AAPC) specialty coding certification called “Certified Cardiology Coder.” He also developed significant portions of the certification exam for the Board of Advanced Medical Coding professional coding certification titled, "Advanced Coding Specialist in Cardiology."
Jim was the Consulting Editor of Cardiology Coding Alert for over a decade. Several of his articles have been published in EP Lab Digest, Cath Lab Digest, and Cardiology Coding Alert. He has also contributed to articles in The Wall Street Journal and Cardiology Coder’s Pink Sheet.
Jim is a key opinion leader in the fields of documentation, coding, reimbursement, coverage, and value-based compensation for cardiology care.
