Coding/Billing Compliance & Self Audits
Rayna McSpadden SVMIC Practice Consultant

Overview: CMS has stepped up the number and types of audits plaguing medical practices over the past few years. The Office of Inspector General (OIG) recommends groups that receive any Federal money to implement billing, coding, and documentation audits as part of their compliance program. This presentation discusses why these audits are important, as well as how performing routine self-audits may help in staying in compliance.

Objectives:

• Identify areas of risk within coding and billing

• Review the various types of governmental coding/billing audits and what they mean for your practice

• Discuss the process for self-auditing

Online only. Link will be emailed one day prior. 

For MetroCare Physicians members and staff 1 hour CEU available

Dissecting & Coding Op Notes 2023

Presented by: Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA

The operative report is a blueprint to communicate the specific details of a procedure. It relates to coders the pieces of the procedure such as approach, device, body area/part, final diagnosis, and more.  Understanding how to dissect the report in order to find the details necessary in selecting the correct codes is essential.  Join this class to review the process aiding in:

• Ensuring coding accuracy
• Relating risk factors through patient co-morbidities
• Reporting services correctly for appropriate reimbursement
• Being prepared for an audit

Bring your CPT4 and ICD-10 CM manuals to class for class exercises.

Date:               Friday, March 24, 2023

Time:               9:00 a.m. 12:00 p.m.

Location:         online. Link emailed one day prior.

CEUs will be available

**This series of courses is open only to participating MetroCare physician members and their staff. ****

Coding for Urinary and Male Genital Systems 2023

Presented by: Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA

Revisit CPT and diagnosis coding with Karen Scott for the urinary and male genital system. Sharpen your coding skills to ensure selection of the appropriate codes for optimum reimbursement and coding compliance when reporting excisions, repairs and other procedures of the urinary system involving the male genital system. The section will include discussion of codes and documentation needed to support their use.

Problematic areas and common errors will be covered.

If there are applicable topics or questions that you wish to be addressed, please forward those at least a week prior to the session to make sure they are covered.

Date:              Friday, March 24, 2023

Time:               1:00 p.m. to 4:00 p.m.

Location: online. Link emailed one day prior.

**This series of courses is open only to participating MetroCare physician members and their staff.        3 hours CEU available

Contact Person: This email address is being protected from spambots. You need JavaScript enabled to view it.

***** CEU hours available *****

Coding for Social Determinants of Health: 
Good for patient care, quality measure outcomes, and E&M levels

Lunchtime session April 5

Presented by: Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA

Payers are beginning to acknowledge that regardless of proper medical attention and prescribed treatment, circumstances in a patient’s life outside the control of the physician and the patient heavily influence a patient’s health and well-being. And evaluating your patient for these issues can affect E&M level selection.

Codes to indicate these harmful situations, whether environmental or economic or otherwise, allow for reporting of treatment failures, unexpected negative outcomes, and generally increased risk in patients who may have socioeconomic reasons for less than expected positive outcomes and higher cost.

Due to the brief time scheduled for these sessions, please try to log in on time. We will start promptly at 12:15.
 
Attention will be given to:

• Introduction and overview of social determinants
• Attention to codes currently available for reporting
• Influence on E&M level selection

Dates:               March 8 and 15, April 5 and 12

Time:               12:15 p.m. to 1:00 p.m.           

 Location:        Online only. Link will be emailed to registrant 1 day prior.

**This course is open only to participating MetroCare Physicians members and their staff. 1 hour CEUs will be available.

Contact Person: Donna Pendergrass

   This email address is being protected from spambots. You need JavaScript enabled to view it.

Coding for Social Determinants of Health: 
Good for patient care, quality measure outcomes, and E&M levels

Lunchtime session April 12

Presented by: Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA

Payers are beginning to acknowledge that regardless of proper medical attention and prescribed treatment, circumstances in a patient’s life outside the control of the physician and the patient heavily influence a patient’s health and well-being. And evaluating your patient for these issues can affect E&M level selection.

Codes to indicate these harmful situations, whether environmental or economic or otherwise, allow for reporting of treatment failures, unexpected negative outcomes, and generally increased risk in patients who may have socioeconomic reasons for less than expected positive outcomes and higher cost.

Due to the brief time scheduled for these sessions, please try to log in on time. We will start promptly at 12:15.
 
Attention will be given to:

• Introduction and overview of social determinants
• Attention to codes currently available for reporting
• Influence on E&M level selection

Dates:               March 8 and 15, April 5 and 12

Time:               12:15 p.m. to 1:00 p.m.           

 Location:        Online only. Link will be emailed to registrant 1 day prior.

**This course is open only to participating MetroCare Physicians members and their staff. 1 hour CEUs will be available.

Contact Person: Donna Pendergrass

   This email address is being protected from spambots. You need JavaScript enabled to view it.