E & M Coding Changes for 2024

This program offers 1 pre-approved AAPC CEU (continuing education hours)

Over the past 3 years, the American Medical Association and the Center for Medicare and Medicaid Services have implemented new guidelines for Evaluation and Management Services. The first changes involved Office and Outpatient visits, and then 2 years later changes were made to Evaluation and Management services for the hospital, skilled nursing facility, and other resident facilities. As the new guidelines were being used, clarifications and revisions had to be made to assist providers in applying the guidelines as described. In this event we will go over the guidelines, and also discuss the 2024 updates to this chapter of CPT

Agenda: What You Will Learn:

• Look at the 2021 and 2023 guidelines for Evaluation and Management services.
• The appropriate reporting of shared/split visits.
• 2024 changes and revisions to CPT for Evaluation and Management
• New assignments for using time.
• More Information regarding consultations
• A deeper look at prolonged services
• A job aid to see what prolonged add on code is assigned to each section of E/M
• Utilizing time to report multiple visits in a day
• Revisions to the table of risk
• Medicare code G2211
• Telehealth after 2024
• Other changes by CMS

Key Takeaways:

Attendees will not only understand the codes visit changes for 2024, but they will learn first hand the reasoning behind these changes and appropriately application for compliant, clean claims. They will also gain knowledge enough to educate others within their office for all to be aware.

In knowing and understanding the coding changes for 2024 denials and delays in claims processing by insurance companies that hold up reimbursement will be avoided and the office cash flow will be maintained. Visits are always being scrutinized by insurance carriers but to the fact that these services are the most expensive to the insurance companies of any service or procedure. An audit by an insurance company, if errors are found, could cost a provider and/or practice refunds of the services and possible fines and penalties.

Who Should Attend:

Physicians, nurses, physicians assistants, billers, coders, surgery schedulers, claims adjusters, collection staff, managers

Common Findings in Coding Audits

This program offers 1 pre-approved AAPC CEU (continuing education hours)

Program Overview

All coding professionals must stay updated with the most current Official Coding and Reporting Guidelines and AHA Coding Clinic guidance. Along with the requirements of meeting daily productivity and quality standards, coding and CDI professionals face day-to-day complex challenges in the advanced coding areas It is imperative to stay abreast of these updates, otherwise documentation issues and coding errors may result in denials and noncompliance.

Join us in this presentation as we cover complex challenges for coding professionals and CDI professionals, which includes advanced areas of the coding guidelines, coding conventions, strategies to address documentation issues and query best practices. We will also review challenging audit case scenarios with common coding errors with the goal of being proactive and prepared for future audits.

Program Objectives:

The goals and objectives of this webinar are:

• Review challenging coding guidelines and coding references
• Identify common coding errors resulting in denials and noncompliance
• Apply best practice in coding utilizing coding resources
• Review case examples which resulted in denials

Program Agenda and Highlights

• Introduction
• Disclaimer
• Overview of Challenging Coding Guidelines
• Compliant Documentation Requirements
• Case Scenario Coding Practice
• Review of Coding References and Resources
• Summary

Target Audience:

HIM Coding Directors, Managers, Supervisors; Hospital Coding Staff; Clinical Documentation Improvement Management and Staff; Reimbursement Specialists; Coding Compliance Management and Staff; Auditors and Educators

CPT Coding Updates for 2024

Each year the American Medical Association and the Center for Medicare and Medicaid services approve additions, revisions, and deletions to the CPT® manual for coding professional services and procedures. These changes become effective each January 1st with no grace period. This presentation will share with attendees the highlights of the 2024 changes so that there is an understanding on applying the changes to avoid reimbursement because of delayed of denied claims.

• Revisions to the 2021 and 2023 guidelines for Evaluation and Management services.
• The appropriate reporting of shared/split visits.
• Category III codes that have now been deleted for new Category I codes to include surgery codes for the musculoskeletal system.
• New nasal/sinus endoscopy codes for ablation of nerves
• Phrenic nerve, peripheral nerve, and skull mounted cranial stimulator codes
• Cystourethroscopy addition to replace 0499T
• CPT code for uterine fibroid tumor ablation
• Changes to pathology, laboratory, radiology, and medicine sections

Benefits

Attendees will not only understand the codes changes for 2024, but they will learn first hand the reasoning behind these changes and appropriately application for compliant, clean claims. They will also gain knowledge enough to educate others within their office for all to be aware.

In knowing and understanding the coding changes for 2024 denials and delays in claims processing by insurance companies that hold up reimbursement will be avoided and the office cash flow will be maintained.

Who Should Attend

Physicians, nurses, physicians assistants, billers, coders, surgery schedulers, claims adjusters, collection staff, managers

Diminish Confusion with Coding Injections and Infusions

This program offers 1 pre-approved AAPC CEU (continuing education hours)

PROGRAM OVERVIEW

Many hospital and clinic settings continue to struggle with injection and infusion coding. Although the CPT code range for injections and infusions only comprise of a very small fraction in comparison to the other sections of the CPT codebook, these codes continue to pose as a challenge for coding professionals. There are specific guidelines to strictly follow when capturing these complex codes. Failure to report the correct injection and infusion codes may negatively impact submitted claims, fail an external audit, or be at risk for non-compliance.

Are intramuscular injections part of the hierarchy? Can we report multiple initial services? Is dehydration the only diagnosis required when reporting hydration services? When do we apply a modifier when reporting hydration services? Can we report an infusion if an IV push injection is documented for more than 15 minutes? Can we report concurrent service when multiple substances are mixed in a bag? Can we report an IV push if a short duration infusion is missing a stop time?

Join us in this informative educational webinar as we conquer these challenges and apply complete, compliant coding practices. We will perform hands-on coding of various case scenarios and prepare for incoming audits surrounding these complex codes. Whether you’re a new or seasoned coding professional, manager, educator, or student, join us as we walk through the coding guidelines, CPT hierarchy, start and stop time documentation, and many more.

PROGRAM OBJECTIVES:

• The goals and objectives of this webinar are:
• Apply best practices for complete documentation of injections and infusions
• Report the “initial”, “subsequent” and “concurrent services appropriately
• Identify supporting clinical documentation and medical necessity for services provided
• Assign the correct codes for hydration services and infusion of multiple drugs
• Practice coding in sample injection and infusion case scenarios
•  Incorporate a robust audit plan and education

PROGRAM AGENDA AND HIGHLIGHTS:

1. Introduction
2. Disclaimer
3. Definitions Refresher
4. Overview of coding guidance and rules on injections and infusions hierarchy
5. Compliant Documentation Requirements
6. Case Scenario Coding Practice
7. Review of Coding References and Resources
8. Audit Plan Best Practices
9. Summary

TARGET AUDIENCE:

HIM Coding Directors, Managers, Supervisors; Hospital Coding Staff; Clinical Documentation Improvement Management and Staff; Reimbursement Specialists; Coding Compliance Management and Staff; Auditors and Educators
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* Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.