(Louisiana) Reporting Quality & Care Management for Rural/Community Health
Thursday, June 16, 2022, 9:00 AM - 4:30 PM EDT
Category: Reporting Quality & Care Management Services in Rural/Community Health
A Billing and Coding Full-Day Workshop
Please join us for an in-person workshop
on Thursday, June 16, 2022, 9:00 AM - 4:30 PM
Curriculum specifics will include:
- The “Key Components” associated with E&M code selection
- The differences between the CPT and CMS E&M documentation guidelines
- Discuss the use of utilization benchmarks to target potential risk areas
- Explain the differences between the 1995 and 1997 examination guidelines
- Determining the complexity of medical decision making (MDM)
- The importance of ‘linking’ ICD-10-CM codes to E&M services
- Risks associated with certain EHRs solutions (e.g., “wizards”)
- Distinguishing “problem-oriented” from “preventive” E&M services
- What to look for when modifiers are reported with E&M services (e.g., -25)
- How to use a well-constructed audit template to conduct reviews
- Key steps to present audit findings to providers successfully and non-confrontationally
Who should attend:All staff involved in medical billing for your organization, including new providers and providers that need a refresher Times and Agenda:9:00 AM-12:30 PMInstructor: John Burns Overview of key terminology for Value-Based Care and how CPT/HCPCS-II/ICD-10-CM relate to reporting key quality measures,
- Comparing Care Management & Quality Reporting
- How ICD-10-CM codes can impact Per Member Per Month payments to clinics or payers,
- How to research the full definitions of CPT Category II codes for Performance Measurement via the AMA Clinical Topics Listing,
BREAK FOR LUNCH
1:30 - 4:30 PMInstructor: Gary Lucas
- Overview of HEDIS measures
- Review of how to achieve Shared Savings via Hierarchical Condition Categories and Risk-Adjusted Coding
- Review of the key "2022 ICD-10-CM Official Guidelines for Coding and Reporting"
- Gathering and Reporting Social Determinants of Health codes
- Outline Care Management revenue options, including Principal/Chronic Care Management, Transitional Care Management, Behavioral Health Integration, and the Psychiatric Collaborative Care Model.
Breakfast and lunch will be provided.
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