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This presentation will address the changes to documentation and coding requirements for evaluation and management services finalized in the 2019 Medicare Physician Fee Schedule Final Rule. These changes will have varying levels of impact depending on provider specialties and other factors, however clinicians will be able to use current coding guidelines during the transition process.
The impact to revenue caused by these changes will be reviewed in detail and additional codes approved by CMS that may help to offset reductions in revenue for certain specialties will be reviewed in detail.
Why should you Attend: A detailed understanding of evaluation management documentation coding rules is essential to all outpatient office-based practices as these guidelines are used by CMS and other payers. Lack of understanding of these guidelines can lead to significant revenue loss and in some situations accusations of fraud waste and abuse.
Areas Covered in the Session:
An Overview of Current Evaluation Management Coding Guidelines
And in-depth Look at the Finalized Changes to Evaluation Management Coding for 2019
A discussion of the add-on Codes Finalized by CMS for 2019
Review of the Impact of these Changes per Specialty
Who Will Benefit:
Revenue Cycle Professionals
Michael Stearns, MD, CPC, CFPC, is a physician informaticist, certified professional coder (CPC), certified family practice coder (CFPC). He is the CEO and Founder of Apollo HIT, LLC, an Austin-based company that provides consulting services in the areas of healthcare information technology and compliance. His company assists organizations with meeting their documentation, coding, EHR optimization and program goals, including their performance in the Merit-based Incentive Payment System and Alternative Payment Models.
During his career Dr. Stearns has received several awards for teaching and contributions to patient safety and patient privacy initiatives. He played a central role in the design and development of vocabularies at the National Institutes of Health (NIH) and provided a leadership to the development of the Systematized Nomenclature of Medicine – Clinical Terms (SNOMED CT). He has served in a leadership capacity for two leading EHR vendors and as an advisor to several emerging HIT organizations.
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