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E/M in the Hospital: Protect Your Claims for Observation, Inpatient, and Discharge Services

Product Code: YMPDA091719A

Quick Overview

Learn from our expert and avoid failed hospital E/M claims with this webinar.

Price: $199.00

E/M in the Hospital: Protect Your Claims for Observation, Inpatient, and Discharge Services

E/M in the Hospital: Protect Your Claims for Observation, Inpatient, and Discharge Services

Presented on: Tuesday, September 17, 2019 | 1–2 p.m. Eastern

Presented by: Maxine Lewis, CMM, CPC, CPC-I, CPMA, CCS-P

Initial visit, subsequent visit, or discharge services—no matter what was provided, reporting the appropriate code for hospital E/M services requires thorough documentation. First, coders must know whether the patient was in observation or admitted to the hospital. Then, they’ll need a sharp eye for detail and an in-depth knowledge of coding guidelines to avoid money-draining underpayments and denials.

According to the latest CERT report data, claims for hospital visits have a high error rate, and the chief cause of denials varies depending on the codes involved. Insufficient documentation is most likely to be the downfall of same-day observation discharge management and observation care (99217, 99218–99226), incorrect coding is usually what snarls inpatient services (99221–99223, 99231–99233), and discharge services (99234–99239) are equally prone to incorrect coding and insufficient documentation mistakes. In addition, CMS recently approved a recovery audit of subsequent hospital care codes.

Don’t leave your hospital visit claims open to failure—join coding and compliance veteran Maxine Lewis on September 17 and learn how to protect your coding for observation, inpatient, and discharge services.

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

  • Identify complete and incomplete documentation for hospital E/M visits
  • Select the appropriate level and code for observation, inpatient, and discharge services
  • Accurately report split/shared services and inpatient consults

 Agenda

  • Observation care
    • Orders
    • Initial
    • Subsequent
  • Inpatient care
    • Admission
      • Modifier -AI (Principal physician of record)
    • Initial
    • Subsequent
  • Observation-to-inpatient transfers
  • Discharge services
    • Same-day admission and discharge for observation and inpatient care
    • Discharge day management
  • Split/shared visits
  • Inpatient consults
  • Live Q&A

Who Should Listen?

  • Coders
  • Billers
  • Compliance officers
  • Physicians
  • Nonphysician practitioners

Meet the Speaker

Maxine Lewis

Maxine Lewis, CMM, CPC, CCS-P, is a nationally recognized lecturer and consultant in the healthcare industry with more than 40 years of practical experience in the medical office. She specializes in instruction for proper coding and its relationship to payment. Lewis is an author of Medicare Rules and Regulations as well as Working With Insurance and Managed Care Plans, published by PMIC of Los Angeles. She has written workbooks and led seminars in addition to developing an audio reference library for physician practices. 

 

Continuing Education

Board of Medical Specialty Coding & Compliance (BMSC)
This program is preapproved by the Board of Medical Specialty Coding & Compliance (BMSC) for CEU(s).

Instructions

Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

CAN'T LISTEN LIVE? 
No problem. The On-Demand version is also available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $199 value! 

PLEASE NOTE 
Participation in the webinar is just $199 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 855-225-5341 or email customer@decisionhealth.com  if you have questions.