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Medical Decision Making OR Medical Necessity

Broadcast: Sep 16, 2015 at 8:30AM

Presentation Length: 4 Hours

On Demand Availability: September 16, 2015

Presenter: Brenda Edwards, CPC, CPB, CPMA, CPC-I, CEMC, CRC
Caroline Persin Wolbrecht, CPC, CPC-I
Chelisa Devine Clark, COC, CPC, CPC-P, CIRCC, CPC-I
Colleen Gianatasio, CPC, CPC-P, CPMA, CPC-I, CRC
Corrie L Alvarez, CPC, CPMA, CPC-I, CEDC
Elin Baklid-Kunz, CPC, CPMA
Gina L Hobert, COC, CPC, CPC-I, CEMC
Jaci J. Kipreos, COC, CPC, CPMA, CPC-I, CEMC
Jonnie Massey, CPC, CPC-P, CPMA, CPC-I
Julie F Pope, COC, CPC, CPMA, CPC-I
Kathleen M Skolnick, COC, CPC, CPCO, CPB, CPMA, CPPM, CPC-I
Lashelle Bolton, COC, CPC, CPMA, CPC-I
Leanne Walls, CPC
Linda Hallstrom, CPC, CPMA, CPC-I, CEMC
Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC
Peggy L Pugh
Quita Edwards, CPC, CPMA, CPC-I, COSC
Stephanie Cecchini, CHISP, CPC, CEMC
Susan Ward, COC, CPC, CPC-I, CEMC, CPCD, CPRC
Toni Kimmons Slocum, CPC, CPC-P
Yvonne D Dailey, CPC, CPB, CPC-I

6 CEUs

Coding

Billing

Auditing

Compliance

Management

Price: $189.95
Members: $149.95

Attendee Rating:

This workshop highlights frequent (but problematic) methods used in code selection, such as utilizing the Evaluation and Management Documentation Guideline’s Medical Decision Making component to determine Medical Necessity. This and other myths can lead to coder confusion that may artificially inflate (or deflate) coding. This workshop also provides you with alternate solutions that really work.

What You Will Learn:

How to confidently code the correct E/M level every time
Discover when documentation becomes a compliance problem
How to stop over-coding or under-coding claims based on Medical Necessity
E/M myths that cause errors

This workshop debunks these common myths (and more):

"I can use the level of the MDM to validate the Medical Necessity of the service"
"My EMR suggested the code, which validates that the level of service is correct"
"When an established patient has three chronic conditions, the code is always a 99214"
"An 'unobtainable history' is automatically equal to a comprehensive history"
"I document the total time and counseling at 50%, therefore the service level is always correct"

If you work with physicians or providers, this workshop will provide you with valuable insights to communicate more effectively with them and other stakeholders about E/M coding and Medical Necessity issues.

Gain an essential understanding of regulations that effect E/M documentation
Combat today’s most challenging E/M leveling errors with actionable information
Learn the 5 things every coder should do to code E/M correctly and confidently

About The Author

Stephanie Cecchini, CPC, CEMC, CHISP, is the Vice President of Coding Operations at Aviacode. She joined Aviacode in 2012 where she continues her commitment to best serve the revenue cycle management needs of physicians and the healthcare community. She is an executive level healthcare operations expert with significant & broad ambulatory healthcare business experience with emphasis on multi-specialty physician groups, hospitals and payers. She has extensive experience in using data to drive payer audits. Stephanie has developed E/M audit selection algorithms to identify physician coding errors and recoup overpayments for both federal and commercial payers. She brings more than eighteen years’ involvement in healthcare regulations including: coding and billing compliance, HIPAA privacy, security, and transactions, and HITECH meaningful use compliance. Previously, Stephanie served as SVP at the American Society of Health Informatics Managers, working to fill the needs of physicians adopting Health IT and at its sister organization, AAPC as VP, Product Management. In prior roles she served as Chief Audit Officer for Parses, assuring physician audit accuracy and quality control for payer driven recovery audits of professional fees and was responsible for driving sales & managing new audit programs. As a public speaker and published writer, she is a nationally respected advocate of fair and proper payment for medical services.

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Medical Decision Making OR Medical Necessity

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