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Home > Audio Learning Center > Prepare Now for Major Changes to E/M Coding

Prepare Now for Major Changes to E/M Coding

Date:Wednesday, September 19, 2018
Time:12 noon to 1:30 p.m. Central Time
Course fee:$199
Presented by: Maxine Collins, MBA, CPA, CMC, CMIS, CMOM

Webinar/Audio Conference FAQs

CMS has proposed the most consequential changes to Evaluation and Management (E/M) coding since the 1995 and 1997 guidelines were established decades ago. In this webinar program, we will review all E/M related details of the 2019 Medicare Physician Fee Schedule proposed rule. Maxine Collins will explain the attempt by CMS to do a major overhaul to E/M coding and reporting and highlight the potential impact to various specialties billing for office visits and other outpatient services in 2019 should the proposals be adopted in the final rule.

The goal is the reduction in the complexity of E/M documentation to a level appropriate for clinical purposes. CMS attempts to address E/M subjectivity by allowing providers more flexibility when choosing the most appropriate basis for distinguishing among the levels of E/M visits. They aim to simplify code processes and relax documentation requirements.

Critics claim these changes may have a disproportionately negative impact on specialties that treat patients with chronic illnesses. Standard payment rates based only on whether a patient is new or established could wind up reducing reimbursement for some physicians and specialties that see sicker patients, though the introduction of new, add-on codes could improve payments for some providers. Selecting an E/M level based on Medical Decision Making alone also conflicts with CPT® rules. Could that change create unintended consequences and increase audit risk for providers?

Attend this webinar to get the facts on the proposed changes to E/M. Prepare now for an implementation date that might be just around the corner, on January 1, 2019.

Highlights

  • Single base payment rate for new vs established services
  • Add-on codes for required additional resources
  • MDM or Time as a basis to determine the appropriate level of visit
  • Two new time thresholds for new and established patients
  • Documenting expanded history is important
  • Providers need to verify the data added to the record by ancillary staff
  • Ancillary staff will be allowed document more than ROS

Continuing Education Units (CEUs)

PMI CEU APPROVED Earn 1.5 PMI CEUs for attendance at this program. Practice Management Institute grants CEUs for its certified professionals based on total number of instructional hours (1 CEU per hour of classroom instruction). CEUs may be applied to annual recertification requirements, as directed in the certification renewal requirements for your credential(s).

If you are seeking CEU credits for other certifications or organizations, please contact your organization for pre-approval and credit guidelines. A certificate of attendance will be provided.


Please read below before completing your webinar registration.

Have you heard about PMI's TOTAL ACCESS Webinar subscription program? TOTAL ACCESS puts a full library of training in the hands of your entire staff for a monthly fee of just $249. TOTAL ACCESS is the newest way to develop your own talent, without leaving the office to attend training classes. It's also the fastest way to bring both experienced and new staff up-to-date on current issues.

Sign up now and you'll receive this webinar plus the following benefits for as long as you subscribe: access codes to all upcoming live webinars and unlimited access to the TOTAL ACCESS Library, more than 300 hours of on-demand, pre-recorded training sessions on over 100 topics relevant to medical office coding, billing, compliance, management, front desk, and much more. It's a GREAT VALUE!

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About the Presenter

Maxine has more than 30 years of experience in medical practice management, adult education, and general business. She is the former administrator for a multi-specialty clinic, and has taught numerous practice management, accounting and business communications courses at various levels at Midwestern State University in Texas. She has extensive experience as a practice consultant and has taught both administrative and clinical personnel.



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