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Home > Audio Learning Center > The Role of Medical Necessity in Determining and E/M Visit

The Role of Medical Necessity in Determining and E/M Visit

Date:May 16, 2017
Time:12 noon to 1:30 p.m. Central Time
Course fee:$199
Presented by: Jeffrey Restuccio, CPC, COC, MBA

Webinar/Audio Conference FAQs

Most providers are unclear of the specific requirements for determining the level of an office visit. Many use time or rely on the EMR software to determine the level. Both can lead to an incorrect level. Others are aware of the three key components (history, exam, medical decision making) but not exactly sure how to score each one.

This Webinar goes one step further and compares and contrasts how medical necessity is the main determinant of the final level of an office visit. This Webinar is particularly useful for those wishing to maximize their revenue, see an older, sicker population, or currently report a high level of level IV and V office visit codes.

The importance of medical necessity in determining the level of an office visit.

  • Overview
  • Medical Decision Making (MDM)
  • CPT version
  • MDM Scoring System
  • Why is Medical Necessity More important than MDM?
  • The AMA Perspective
  • Medicare Guidelines
  • The Problem with Problem Lists
  • The concept of Peer Review
  • The concept of the 50/50 Rule (of auditing)
  • Grey Areas
  • Your Questions

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

Jeffrey Restuccio is a certified coding and billing instructor and auditor. He has over 20 years of coding and training experience and conducts Coding and Documentation seminars and comprehensive Coding Certification Prep Courses nationwide. He is also the author of over a dozen, online training courses for billing, coding, HIPAA, ICD-10 and auditing on his website: Ritecode. HOME | Curriculum | Locate a Class | Online Training Center | Discussion Forum | Sitemap | Policies | Contact Us!
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