Special Presentation and Coding Tool: Crash Course in Medical Necessity for E/M Coders
Have you ever wondered if a level 4 or 5 office visit was really medically necessary—or if a service was actually more appropriately a level 3 versus a 2?
Between EHR templates, Value Based medicine, and PQRS documentation requirements, medical records have swollen in size. They often support a level of service based on the 1995 and 1997 Documentation Guidelines, but leave no method for a coder to determine what was medically necessary. Only providers are qualified to make Medical Necessity determinations --- how can a coder be sure that they are selecting the correct code?
This on-demand special presentation provides you with 3 simple solutions to ensure you’ve got the right level of service!
Overview:
- Learn how to confidently code the correct E/M level ---every time
- Discover when all that documentation becomes a compliance problem
- Stop over-coding or under-coding claims based on Medical Necessity
- Avoid the 5 deadliest mistakes in E/M coding
This presentation highlights frequent (but problematic) methods used in code selection, which are adding to the problem. This on-demand workshop also provides you with alternate solutions that really work.
BONUS:
- Take the guess work out of E/M Medical Necessity coding! Attendees will receive a FREE CDI tool! The tool empowers physicians with a clinically relevant method to communicate medical necessity. It allows coders to identify under documentation and over documentation concerns prospectively without slowing down AR. This improves coder speed and accuracy!
- Earn a total of 3 CEUs in this one hour presentation
- Receive a 39-page quick reference guide packed with information and resources to help physicians and coders in your practice!
This 1 hour presentation answers these questions (and more):
“Why can’t I use the level of the MDM to validate the Medical Necessity of the service?”
“My EMR suggested the code, why doesn’t this validate that the level of service is correct?”
“When an established patient has three chronic conditions, why is the code is not always a 99214?”
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.
About the presenter: Stephanie Cecchini, CPC, CEMC, CHISP
Stephanie 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.