August 22, 2019

CodingIntel.com

At the end of June each year, CMS releases its Proposed Physician Rule.  The rule can be boring (wage index changes for practice expense) and exciting (E/M policy changes). It can be aggravating (proposing to decrease payment when using this or that modifier) and invigorating  (proposing to add payments for new services). Everyone has the opportunity to comment on the proposals, and the Final Rule (with RVU values) is released in November.

Join us on July 25 for a 60 minute live webinar that describes the proposals for 2020. Details will follow, after CMS releases the rule and I read it!

July 23, 2020

Register here

Have you seen the AMA document outlining changes to the E/M code set for 2021? While we
wait to hear what CMS is doing in 2020, and if there 2021 plans are changing, here’s a chance to
hear about the changes that you’ll see in your CPT book in 2021.

CPT is planning significant changes to the E/M code set for 2021 for new and established office
and outpatient codes. The AMA has released draft guidelines that change how these codes are
selected. The rules for using time to select a code will be different for new and established
patient codes in 2021. The AMA has added the concept of split/shared to their instructions, a
billing rule previously described in the Medicare manual but not in the CPT book. And, for new
and established office and outpatient visits, CPT is proposing to drop history and exam
requirements and retooled the medical decision making definitions.

CPT rules govern all payers, so these changes are important. If CMS includes E/M in their 2020
proposed rule (due out any day now….), that content will be added to this webinar.

Sign up today to hear about these momentous, upcoming changes.
After the seminar participants will be able to:

• Know how to use time for new and established patients in 2021
• Define the key terms in the revised MDM guidelines
• Plan how to implement change in their practice

July 10, 2019

DecisionHealth

Critical care codes 99291 and 99292 are not your typical E/M services—they require meeting specific, high-intensity reporting elements to get your claims through. In addition to the strict billing rules, critical care codes are now under investigation by Recovery Audit Contractors (RAC), which are assessing bundling issues among provider groups across the nation.

With critical care claims tied to more than $1 billion in revenue in 2017, it’s never been more urgent to keep your claims humming. Expert speaker Betsy Nicoletti, CPC, will present real-life scenarios to demonstrate how practices should code and bill these services, as well as answer participant questions during a live Q&A. Clean up your billing and documentation and get a cure for critical care coding pitfalls with a master review of coding rules and regulations.

At the conclusion of this program, participants will be able to:

• Implement key critical care coding know-how to increase successful claim submissions
• Understand which issues RACs are investigating and take appropriate steps to avoid audits
• Know how to bill for critical care services without fear of claim disruptions

Agenda

• Discern the high-intensity elements that you must reach to successfully report critical care services 99291 and 99292
• Avoid claim denials and steer clear of RAC activity by understanding the full range of bundled services, such as some professional services for x-rays and cardiac tests
• Get real-life scenarios to illustrate how critical care coding works in practice
• Secure the $282 you’re owed per critical care service and keep your revenue flowing
• Live Q&A