Evaluation and Management (E/M) for the Inpatient Setting is organized by Skillacquire and will be held on Apr 22, 2020.
Description:
Evaluation and Management (E/M) codes are one of the top billing code set in the healthcare industry. These codes identify the provider’s cognitive work. Providers may be well versed on billed E/M codes in their private practices but may face some confusion and uncertainty when billing for patients they admit or are requested to provide a consult in the hospital setting. There are specific rules when it comes to billing consultation services based on payer, observation and critical care to name a few.
In this session expert, Leonta Williams will cover some of the most important documentation, coding and billing requirements for providing services in the hospital setting. She will also provide you with proven and step-by-step tactics to improve your overall E/M inpatient accuracy and reimbursement while making sure that you don’t trigger any CMS tripwires.
Learning Objectives:
Know the differences between the outpatient and inpatient guidelines when selecting principal and secondary diagnoses
• Determine when you can bill rounding based on time instead of documentation and unravel unit/floor time-based coding requirements to capture all possible revenue
• Capture all prolonged services time to ethically maximize your pay up
• Prevent denials for patients who are admitted and discharged on the same day
• Uncover hidden observation care documentation terms that lead to claim approval
• Get your provider paid for concurrent services provided to inpatient patients
• Ensure clean claims for patient transfers and inpatient consultations
• Learn how to bill for advanced care planning discussions
Areas Covered in the Session:
Initial Hospital Visit code requirements
• Subsequent Hospital Care code requirement
• Hospital Consultation code requirements
• Critical Care code requirements
• Observation Care code requirements
• Prolonged Service code requirements
• Hospital Discharge Day Management code requirements
• Diagnosis Coding for the Inpatient stay
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