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Who should attend ED CBR: Issues and Answers Webinar
ED Personnel, Physician Coding Personnel, Hospital Coding Personnel, Billing and Claims Transaction Personnel, Chargemaster Coordinators, Financial Analysts, Compliance Personnel, Revenue Enhancement Personnel, Revenue Cycle Integrity Personnel, Utilization Review Personnel, Internal Audit Staff, Physicians and Other Interested Personnel.
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ED CBR: Issues and Answers Webinar  

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ED Personnel, Physician Coding Personnel, Hospital Coding Personnel, Billing and Claims Transaction Personnel, Chargemaster Coordinators, Financial Analysts, Compliance Personnel, Revenue Enhancement Personnel, Revenue Cycle Integrity Personnel, Utilization Review Personnel, Internal Audit Staff, Physicians and Other Interested Personnel.

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Seminar Summary:

Have you ever understood the relationship between E/M level coding and EMTALA! If not, let us help you see the relation.  (see full course description)

 
 

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print the agenda print agenda for the ED CBR: Issues and Answers Webinar seminar

 

Training Course Syllabus:


ED CBR: Issues and Answers Webinar

Join expert speaker Duane Abbey, where he’ll :

  • Review the levels and types of services in the ED.
  • Update changes in APCs affecting ED services and billing.
  • Discuss the both technical and professional component claims generation for ED services.
  • Understand E/M level coding and relationship to the EMTALA mandated MSE (Medical Screening Examination)
  • Appreciate surgical services and the associated coding and billing for such services.
  • Appreciate the need for special ED coding and billing policies and procedures.
  • Work through a series of exercises that illustrates the difficulties in coding and billing for ED services.
  • Address special issues such as Type B EDs under Medicare and special use of non-physician practitioners for Critical Access Hospitals.


Plus:

I. Overview of ED Services
a. Emergency Care Including Trauma Services
b. Urgent Care
c. Clinical Services Provided in the ED

II. EMTALA Considerations
a. MSE – Medical Screening Examination
b. Stabilization and Transfer Rules
c. Recent Updates
d. Coding and Billing Issues

III. APCs and ED Services
a. “-25” and “-59” Modifiers
b. Multiple Encounters on Same Day
c. Interface to Observation Services

IV. Documentation Systems and Processes in the ED
a. Check-Off Systems
b. Dictated Notes
c. Handwritten Flow Sheets

V. E/M Coding in the ED
a. Physician E/M Coding
b. Hospital E/M Coding
c. Case Studies

VI. Surgical Coding and Billing for the ED
a. Lacerations
b. Fracture Care
c. Burn Care
d. Injections and Infusion Therapy
e. Case Studies

VII. Special ED Coding and Billing Situations
a. Correlating Physician and Hospital Coding
b. Use of Non-Physician Practitioners in the ED
c. Fast Track Services
d. Observation Services
e. Medicare Type B Emergency Departments
f. Special Considerations for Critical Access Hospitals

VIII. The Future of ED Coding and Billing Under APCs

Seminar Summary:

Have you ever understood the relationship between E/M level coding and EMTALA! If not, let us help you see the relation.  (see full course description)

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