Prod ID: 184This course covers the new, revised, and deleted CPT® code changes, effective January 1, 2021. Learn how these changes impact your specialty to reduce denials and keep provider reimbursement on track all year long.
3
120 min
$239.00
This product is not for purchase at this time.
The AMA's Current Procedural Terminology (CPT®) code set for 2021 includes 329 changes with 206 additions, 54 deletions, and 69 revisions. Reduce denials when you understand what changes impact your specialty. This course will help you keep the practice reimbursement on track in the New Year.
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Jan HaileyMHL, CMC, CMCO, CMIS, CMOM, CMCA E/M |
Jan Hailey has more than 30 years of experience in healthcare. She is proficient in administration, coding, and billing roles, and teaches medical office professionals around the country how to excel in their careers. Jan has also been instrumental in the development of PMI's Workforce Initiatives program.
Jan's affinity for teaching has helped countless healthcare providers and medical office professionals over the years. During her expansive career, she has served as Director of Quality for Saint Joseph Physician Network located in Mishawaka, IN, and Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. As Care Management Director, Jan led the physician network and comprehensive interdisciplinary team across the health system working closely with providers, management, staff, community, and payers to develop strategies for process improvement, gap closures, and patient experience. She developed a documentation improvement program and a Hierarchical Condition Category (HCC) coding education program to predict future healthcare utilization by accurately reporting patient complexity.
Prior to joining Saint Joseph, Jan was the Director of Quality, Coding, and Compliance for one of the largest health systems in Northern Indiana. She has a Master of Health Leadership and four professional certifications in office management, coding, insurance processing, and compliance. She is a member of WPS Government Health Administrators (Medicare) Provider Outreach and Advisory Group.
This is an intermediate-level course designed for medical office coders, billers, auditors, clinicians, and practice managers. Course materials will be provided for use beyond the classroom.
A CPT code set manual is not required to attend this course, but will be helpful to understand the context of the recent code changes.
The most impactful changes in over 25 years are to the E/M section; specifically for the office/outpatient visits (current code range 99201-99215). The new guidelines require that a medically appropriate history and physical examination be performed and documented for this code range only. However, these two components will no longer be used in determining code level selection. The AMA, CMS, and other organizational workgroups involved developed the new guidelines to reduce burdens on physicians and other providers, and to capture information in a way that better represents the clinical environment.
Other E/M codes that are currently based on the 3 key components, the guidelines will remain intact and utilized for arriving at the level of the visit under the 1995 or 1997 Documentation Guidelines. Therefore, individuals working within the industry must understand more than one set of guidelines for the E/M section on January 1, 2021.
Class Highlights:
Self-paced online program includes unlimited review of previously recorded instruction and the downloadable PowerPoint handout for 6 months.