C162 - Coding 101: E&M, Basic Procedures, Non Face-to-Face, and New Codes

Event Time: Tuesday May 7, 2019 3:30 pm to 5:30 pm
Topic(s): Practice, Policy, and Ethics, Academic, Career Essentials, Business of Neurology
Director(s): Bruce Cohen MD, FAAN
Description: This course is designed for those neurologists and advance practice providers as an introduction to Current Procedural Terminology (CPT) coding. In such, residents and new clinicans in practice will find the material in this course useful. In many circumstances, clinicans have not made themselves fluent in coding and may wish to take this course as a refresher. Finally, department chairman and administrators may find this information useful in terms of their team's compliance with coding issues. Most patients' visits with their physician are classified as Evaluation and Management (E/M) services. As cognitive specialists, much of the care rendered by neurologists falls under E&M services. Congress mandated a system to categorize these visits and design regulations that included documentation for these services, which are contained in the AMA - CPT publication, which issues annual updates. This syllabus will focus on the rules issued as part of the single system examination, described in 1997. These rules benefit Neurology with the implementation of a neurological single system examination. In addition to the E/M codes, many neurologists continue to perform procedures, which include EEG, EMG/NCV, neurodenervation and neurostimulation. The basic procedural codes will be discussed. Please note, at the time this course is being planned, there are two issues that may require us to alter the content of this course. We are awaiting a new payment model proposal from The Center of Medicare and Medicaid Services (CMS) by November 1, 2018, which could alter the payment model for many of the E/M services, although not necessarily altering the current E/M system itself. In addition, and partially in response to the proposed rule change by CMS, there are active discussions involving changing the code structure of E/M. The actual course will reflect any changes that occur between the submission of this program and the course itself. Depending on the regulations in place on the date of the course, we will adjust the material to provide the most current and practical information for the clinician and neurology adminstrator for the use of these basic E/M and procedural codes.
Completion Message: Participants will have an understanding of the proper use of E/M coding for face-to-face ambulatory visits and hospital visits, for both new patient, consultation and established patient visits; the proper use of the basic codes for ambulatory EEG, the use of long-term EEG monitoring codes, EMG/NCV coding, chemodenervation, and neurostimulation codes; the proper use of the new and newer non face-to-face codes that have been developed to assist in proper billing for extended care, care outside of the typical office setting, codes useful for transition of care from the inpatient to ambulatory setting, codes useful for transitioning of patients from pediatic neurology to adult neurology providers, and long-term coordination of care codes; and any new codes or changes in the rules of how coding can be used to care for patients will be presented, which could include any changes in the rules implemented by CMS.
CME Credits: 2
Core Competencies: Professionalism, Systems-based Practice

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