Rural/Community Health Evaluation & Management Auditing Bootcamp, Wingate by Wyndham Columbia / Lexington, Tuesday, 13. August 2019

Objectives:
This interactive 2-day training is intended for healthcare practitioners, medical billers, coders, auditors, office managers and IT professionals involved with authoring clinical documentation, generating E&M progress notes, auditing professional physician service claims and maintaining a healthy revenue cycle. The primary course focus will emphasis documentation guidelines set forth by CMS for reporting Evaluation and Management services (E&M), as defined by CPT. The curriculum will provide attendees with a strong grasp of Evaluation and Management auditing, coding and documentation techniques.
The curriculum is designed to assist in development and mastery of the necessary skill set to successfully audit Evaluation and Management (E&M) services. This education and training has been designed to promote compliance and minimize the risk mitigation associated with post-payment review and 3rd party audit exposure.
Curriculum specifics will include:
• The “Key Components” associated with E&M code selection
• The differences between the CPT and CMS E&M documentation guidelines
• Discuss the use of utilization benchmarks to target potential risk areas
• Explain the differences between the 1995 and 1997 examination guidelines
• Determining the complexity of medical decision making (MDM)
• The importance to ‘link’ ICD-10-CM codes to E&M services
• Risks associated with certain EHRs solutions (e.g, “wizards”)
• Distinguishing “problem-oriented” from “preventive” E&M services
• What to look for when modifiers are reported with E&M services (e.g., -25)
• How to use a well-constructed audit template to conduct reviews
• Key steps to present audit findings to providers successfully and non-confrontationally
 
Day 1 of the program primarily focuses on instruction and review of pertinent source documents (e.g., AMA’s 2019 CPT guidelines and CMS’ E&M Documentation Guidelines and some of the categories of E&M services located in CPT.
 
Day 2 of the program will be used to reinforce Day 1 learning objectives while focusing on specific categories of E&M service. There will be a series of hands-on cases for instructor-led audit instruction followed by individual or small group audits of cases presented by class attendees.
 
IMPORTANT! - For added value - bring your own notes for solo or small group review so you walk out with completed audits! Please be sure to remove any and all information that can identify the patient- this is known as being HIPAA de-identified.
Attendee Responsibilities:  Each attendee is expected to present to class with the following:
 
• 2019 CPT (AMA Professional Edition strongly encouraged)
• Up to 5 HIPAA de-identified E&M cases for potential solo and/or group hands-on review
• 2 highlighters
• A printed copy of the CMS Evaluation & Management Services Guidelines
• A copy of any internal audit tools, templates, or score sheets currently being utilized by your facility
 
CEU– 11 CEUs approved by AAPC & ArchProCoding
CME – 10 (Continuing Medical Education) Credits for MD, DO, NP, PA, RN:
*This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the University of Nevada, Reno School of Medicine and Association for Rural & Community Health Professional Coding.  The University of Nevada, Reno School of Medicine is accredited by the ACCME to provide continuing medical education to physicians. The University of Nevada, Reno School of Medicine designates this live activity for a maximum of 11 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
 Day 1 Agenda 10:00 a.m. – 5:00 p.m.
• Overview and CPT E&M Instructions
• Defining time in the inpatient/outpatient settings
• When to use CPT vs. CMS E&M Documentation Guidelines
• Preventive versus Problem-Oriented E&M Services
• Documenting valid chief complaints
• History of Present Illness and Review of Systems (HPI/ROS)
• Past, Family, Social History (PFSH)
• Hands-on Exercises and QA
• 1995 vs 1997 CMS Examination Guidelines
• Geographic considerations (e.g., MAC Guidance)
• Medical Decision Making and Medical Necessity
• The role of EHRs and coding software in the auditing process
• Time based E&M coding
 
 Day 2 Agenda 10:00 a.m. – 3:00 p.m. 
• Review of all remaining CPT E&M categories
• Reinforcement of “key” components, modifiers, and global surgical package considerations
• Overview the ARHPC Audit Tool
• Accurate completion of the E&M Audit tool
• Instructor-led cases for audit
• Individual and group audit exercises
 
Proficiency Exam:
You will have access to a optional 50 questions proficiency exam after the completion of the bootcamp. The exam will be online and you will receive a certificate of completion.



The Wingate Hotel has rooms available for the nights of 8/12 and 8/13. 
Contact the hotel directly at 803-957-5000. Identify that you are with the SC Office of Rural Health for the group room block. Book by 7/12/19. 


Refund Policy:
No refunds after 8/6/19 . No shows will not be given a refund. You may substitute another person. Please send name to tevepaugh@scorh.net.
*By registering, you agree that photos of you taken at the event may be used for social media and/or printed publications. If you do not consent, please contact Chrissy Hutchinson- chutchinson@scorh.net.

Tuesday, 13. August 2019, Wingate by Wyndham Columbia / Lexington, Rural/Community Health Evaluation & Management Auditing Bootcamp

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