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Activity Provided By:

American Association of Colleges of Pharmacy

Gray Areas of E/M and Where to Find the Answers

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Overview / Abstract:

Abuses, honest mistakes in billing for physician visits, account for estimated national losses in billions each year. How can this be true when the vast majorities of physicians are committed to billing accurately and are legitimately surprised when mistakes are uncovered? Evaluation and Management codes are subjective in nature. From the aspect of medical necessity, the correct level of service is determined simply by how sick a patient is. Further, the rules that govern documentation requirements are also in many ways subjective. Coders need clarification to overcome these areas of grey!

You Will Learn:
Usual points of confusion, subjective aspects, and associated concerns
Understanding varied payer interpretations
How to improve coding and documentation so it takes less time and is more accurate
Understanding the mindset of the physician
Where to find answers when you need to have a straight answer

Expiration

Sep 03, 2020

Discipline(s)

Informatics / Coding / Billing CE

Format

Online

Cost

179.95

Credits / Hours

2 CEU

Presenters / Authors / Faculty

Stephanie joined Aviacode in 2012 where she continues her commitment to best serve the revenue cycle management needs of physicians and the healthcare community. She is an executive level healthcare operations expert with significant & broad ambulatory healthcare business experience with emphasis on multi-specialty physician groups, hospitals and payers. She has extensive experience in using data to drive payer audits. Stephanie has developed E/M audit selection algorithms to identify physician coding errors and recoup overpayments for both federal and commercial payers. She brings more than eighteen years’ involvement in healthcare regulations including: coding and billing compliance, HIPAA privacy, security, and transactions, and HITECH meaningful use compliance. Previously, Stephanie served as SVP at the American Society of Health Informatics Managers, working to fill the needs of physicians adopting Health IT and at its sister organization, AAPC as VP, Product Management. In prior roles she served as Chief Audit Officer for Parses, assuring physician audit accuracy and quality control for payer driven recovery audits of professional fees and was responsible for driving sales & managing new audit programs. As a public speaker and published writer, she is a nationally respected advocate of fair and proper payment for medical services.

Keywords / Search Terms

American Association of Colleges of Pharmacy

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