CMS’s Final Rule for Office/Outpatient EM services

Product Id : HE275
Instructor : Jan Rasmussen
Jun 30, 2020 1:00 PM ET | 12:00 PM CT | 10:00 AM PT | 60 Minutes

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CMS has for the last several years focused proposed changes on high value care for patients instead of cumbersome paperwork.  This session will focus on how new documentation rules for office/outpatient services 99202-99215 are intended to promote quality of care rather than paperwork.  Learn how to apply the new rules of medical decision making or time as the prime factors in determining the level of service while maintaining or improving reimbursement.  Also, discuss how Trump’s Patient over Paperwork program continues to drive CMS’s proposals for EM services and documentation standards and compare AMA’s new Decision Making table from previous Decision Making criteria.

Session Highlights:

  • Prepare offices for 1/1/2021 changes in appropriate documentation for office/outpatient codes 
  • Discuss reduced documentation changes to reduce burden on providers.
  • Clarify the new proposed guidelines to base office EM services on time or decision making alone rather than the 3 key components of history, exam and medical decision making.
  • Understand the concept of total time versus counselling time.
  • Identify how new guidelines may improve the office’s bottom line reimbursement.
  • Review risk factors related to new documentation criteria for office/outpatient services.

Who Should Attend:

  • Health Care Providers
  • Coders and Billers
  • Office Managers
  • Auditors
  • Denial Resolution Teams
Speaker Profile:

Jan Rasmussen - PCS, ACS-GI, ACS-OB is a healthcare consultant with more than 30 years of experience in physician billing, reimbursement and compliance. She is a former board member of the American Academy of Professional Coders (AAPC). As a member of the AAPC, Rasmussen previously served on the AAPC Advisory Board as the liaison to the American Medical Association (AMA).

Jan was a board member and Regional Governor for ACMCS. She has been a guest speaker for the AAPC annual conference and previously contributed to the development of AAPC's independent study and university education programs.

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