April 25, 2019

CodingIntel.com

CMS releases a Comprehensive Error Rate Testing (CERT) report annually.  This report, prepared by an independent contractor, measures the error rate for fee-for-service claims. This webinar will analyze errors for Part B payments and identify the types of services with the highest error rates and the reasons identified in the CERT report. The most common type of error is insufficient documentation, followed by incorrect coding.  Some types of procedures, however, were denied for medical necessity.  The report also includes improper payment rates for sampled specialties—see where your specialty ranks. This review will help practices identify potential deficiencies in their documentation. Medical practices can use this information to focus educational efforts and their own audit plans for the coming year.

After the session, participants will be able to:

• Identify services performed in their practice that have a high error rate in the CERT report
• Describe the type documentation deficiencies that lead to errors
• Develop an education and audit plan

March 12, 2019

Sponsored by DecisionHealth

Effective January 1, CMS covers interprofessional consults performed by a specialist who does not see the patient; doctors and qualified healthcare professionals who create the related referrals or documentation reviews will be reimbursed for their work. In addition, CMS now covers “communications-based” check-ins that are conducted on the phone, through a practice’s portal, or via other telecommunication methods.

One of the nation’s largest health insurers has already adopted Medicare’s policies, and you can expect more payers to follow suit. In addition, Medicare will cover more remote physiologic monitoring codes (three new and one revised). However, the rules for the codes are tricky, and Medicare has promised to scrutinize utilization for signs that practices are improperly reporting these services.

Join expert speaker Betsy Nicoletti, CPC, for this 60-minute webinar to learn how to earn the revenue you’re due for these electronic E/M services. Also join Nicoletti at the end of the webinar for a live Q&A session!

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

• Meet the documentation, coding, and reporting requirements for interprofessional consults, referrals, and documentation reviews (99446–99449 and 99451–99452)
• Meet the documentation, coding, and reporting requirements for Medicare’s new virtual encounter and “store and forward” service (G2010 and G2012)
• Understand the communication methods that are appropriate for the codes
• Capture patient consent every time

March 7, 2019

Sponsored by Maine HFMA

Physicians and medical practice administrators worry that there are missed coding opportunities that are costing the practice revenue. They are concerned about services being performed and documented but not billed. This presentation will discuss frequently missed services associated with a CPT or HCPCS code in primary care, medical specialties and surgical specialties, and include an overview of a primary care analysis.

Learning Objectives:

• Review specialty-specific data and compare with practice’s own CPT coding
• Identify the types of services that might be missed based on data and specialty