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Lessons Learned from Auditing the 2023 E/M Guideline Changes

Lessons Learned from Auditing the 2023 E/M Guideline Changes
Broadcast: Mar 28, 2024 at 2:00PM
Presentation Length: 4 Hours
On Demand Availability: March 28, 2024
6 CEUs
A
Coding
Billing
Auditing
Compliance
Management

Price: $114.95
Members: $149.95 $74.95

Attendee Rating: 

Summary

We may agree that the new guidelines do provide simplification for audit as we have one guideline for all E/M services and we no longer have to worry about the “bullet counting” for assessing a level for all areas of evaluation and management services. The changes have also brought some confusion for some elements.

The workshop will review the E/M 2023 Guidelines from an auditing perspective. We will review the federal guidelines and AMA definition that pertain to the Complexity of Problems Addressed, Amount and or Complexity of Data and Risk of Complications and or Morbidity or Mortality of Patient Management.

What you will learn:

  • Explore each area of the E/M Guidelines in depth
  • Discuss the definitions that apply to each area of the Guidelines
  • Review of the AMA grid for Medical Decision Making
  • Discuss how payer input (or lack thereof) affects application of our Guidelines
  • Discuss educating providers of key components

Why is this topic timely/important?

This workshop will provide an opportunity to fine tune your understanding of each of the areas within the E/M guidelines. Many coders and auditors are struggling with the application and definitions provided by the AMA. In addition, others may struggle with assessing data. We will discuss and review the common areas of confusion as well as the gray areas. The workshop will be interactive and allow the participants an opportunity to work through scenarios and discuss the different methods of applying these guidelines to various types of E/M services.

Who would benefit from this topic?

Auditors, Coders, Billing, Physicians, Midlevel Providers

Register Today! Select Live or On-Demand Below:

Availability Style Price Register
March 28, 2024 Virtual $149.95 (Non Members: $189.95) Register Now
March 29, 2024 On-Demand $149.95 (Non Members: $189.95) Register Now

About The Author

Kathleen Rowland, BSN, RN, CHC, CPC, CPC-I, CEMC

Kathleen Rowland, BSN, RN, CHC, CPC, CPC-I, CEMC


Kathy has over 25 years in the areas of Healthcare Administration and Management.

For the last twenty years, her consulting practice has focused on the development and implementation of practice-based compliance plans, auditing, education and litigation support. Kathy holds certifications in the following areas: Certified Professional Coder, Certified Evaluation and Management Coder, Certified Coding Instructor, Certified Healthcare Compliance, as well as a Bachelor of Science in Business Administration and a Bachelor of Science in Nursing.

Kathy has a consulting practice, Integrity Compliance LLC, located in Franklin, Tennessee.

 


*On demand and virtual workshops are for single person use only and may not be rebroadcast, retransmitted, shared or disseminated. A computer with a high speed Internet connection and speakers (or headphones) is recommended to connect to the event.