Coding 

Schedule subject to change. Check back closer to the event for the final schedule.

Thursday – January 14, 2021 - All Times CST

8:00 am - 9:00 am

Coffee House Chat: ED Coding FAQ's and Q&A with Todd Thomas
Presented by ERcoder

9:00 am - 11:00 am 

Exhibit Showcase Open

11:00 am - 12:00 pm

2021 Expert Coding Update: CPT, MIPS, and Audit Traps
Michael A. Granovsky, MD, CPC, FACEP; David A. McKenzie, CAE

The coding rules change substantially each year and 2020 is no different. Hear the latest regarding CPT changes, the complexities of the MIPS program, and audit traps to avoid.

Objectives:

  • Describe the key ED specific 2020 CPT and diagnosis coding changes for emergency medicine
  • Discuss how the expanded CMS audit programs will impact your practice
  • Identify the 2020 CMS regulatory changes related to emergency medicine practice including the impact of the 2020 Medicare fee schedule

12:00 pm - 1:00 pm

Coding Controversies and Advanced Coding Strategies
Todd Thomas, CPC, CCS-P

ED audit activity seems to be increasing every year. You need to know how to address evolving audit issues both proactively and in an audit situation. The speaker will describe current audit programs as well as trends and discuss real-world defense strategies.

Objectives:

  • Analyze the escalating Medicare Audit trends including RAC, MAC, and CERT audits
  • Describe areas of high compliance risk
  • Identify potential audit triggers and targets
  • Review the best defense and response strategies

1:00 pm - 1:30 pm

Break

1:30 pm - 2:30 pm

Lightning Rounds: Telehealth, Attestations, Fracture Care, Moderate Sedation, Ultrasound
David A. McKenzie, CAE (Moderator); Caral Edelberg CPC, CPMA, CAC, CCS-P; Michael A. Granovsky, MD, CPC, FACEP; Rebecca B. Parker, MD, FACEP; Stacie Norris, MBA CPC, CCS-P; Todd Thomas, CPC, CCS-P

Thorough knowledge of coding requires a deep dive into certain areas. Get all the way down in the weeds with an expert panel to dissect today’s most complex coding topics.

Objectives:

  • Analyze the recent CPT guidance related to fracture care
  • Identify the requirements for the correct use of attestation statements
  • Analyze the impact of ultrasound codes 
  • Discuss coding complexities related to facility coding

2:30 pm - 3:30 pm

Advanced Coding Case Study Workshop
David A. McKenzie, CAE (Moderator); Caral Edelberg CPC, CPMA, CAC, CCS-P; Stacie Norris, MBA, CPC, CCS-P; Rebecca B. Parker, MD, FACEP; Todd Thomas, CPC, CCS-P

Coding theory is crucial, but it is only the first step to accurately reporting ED services. Take it to the next level and dissect real-world case studies involving complex coding considerations.

Objectives:

  • Discuss advanced case examples, identifying the appropriate techniques and coding solutions for ensuring accurate coding
  • Describe how available documentation could be improved to ensure proper coding
  • Discuss proper coding techniques for services provided by residents, physician assistants, and nurse practitioners

3:30 pm -5:30 pm

Exhibit Showcase Open

5:30 pm -6:15 pm

Mix & Mingle with faculty pair (capped at 30 attendees)

Speakers: Todd Thomas, CPC, CCS-P and David A. McKenzie, CAE

On-Demand Learning

On-demand courses are flexible, convenient, and faculty taught.

Basic E/M Coding for Physician Services in the ED
Todd Thomas, CPC, CCS-P

Course Time: 90 minutes

The basics of ED coding can be very intimidating. CPT codes, E/M levels, and scoring medical decision making represent the underpinnings of ED code assignment. Freshen up on the basics to make the most of the Advanced Coding course.

Objectives:

  • Review in detail an ED specific approach to the application of the Medicare 1995 Documentation Guidelines
  • Review current concepts and myths surrounding the scoring of medical decision making
  • Identify documentation requirements for the evaluation and management codes 99281-99285, including the three key elements, and four contributing elements

Basic Case Study Presentation: Look at This Case Through My Eyes - Perspectives of Doctor, Coder, and Auditor
David McKenzie, CAE (Moderator); Caral Edelberg CPC, CPMA, CAC, CCS-P; Rebecca B. Parker, MD, FACEP; Todd Thomas, CPC, CCS-P

Course Time: 90 minutes

The basics of ED coding can be very intimidating. CPT codes, E/M levels, and scoring medical decision making represent the underpinnings of ED code assignment. Freshen up on the basics to make the most of the Advanced Coding course.

Objectives:

  • Review in detail an ED specific approach to the application of the Medicare 1995 Documentation Guidelines
  • Review current concepts and myths surrounding the scoring of medical decision making
  • Identify documentation requirements for the evaluation and management codes 99281-99285, including the three key elements, and four contributing elements

2021 Critical Care Coding: How to Get Physicians and Coders Singing from the Same Sheet of Music
Rebecca B. Parker, MD, FACEP

Course Time: 60 minutes

Providing critical care services often means one thing to coders and another to seasoned clinicians. The speaker will Analyze the documentation and coding requirements woven into a nuanced discussion of common critical-care presentations.

Objectives:

  • Review multiple specific critical care clinical presentations and dispel common misperceptions regarding who qualifies for critical care
  • Discuss critical care coding issues including bundled services, time requirements, and CPR
  • Identify documentation and coding requirements to appropriately report critical care services

Medical Decision-Making Driven E/M Coding
Michael A. Granovsky, MD, CPC, FACEP; Todd Thomas,CPC, CCS-P

Course Time: 60 minutes

Starting in 2021 Office Code E/M documentation will be based predominately on Medical Decision-Making (MDM). CPT is considering a similar move for ED codes as well. The speakers will review ED-based MDM scoring and payer policies that create challenges in the ED setting.

Objectives:

  • Review the 2021 Office code MDM guideline changes
  • Analyze how ED E/M codes may be impacted in future years
  • Discuss strategies for effectively achieving MDM based requirements at high levels of ED care
  • Demonstrate these strategies using common ED vignettes

Stop the Bleeding: Avoid Procedure Coding Pitfalls
Michael A. Granovsky, MD, CPC, FACEP

Course Time: 45 minutes

The typical emergency department performs over 100 different procedures on a regular basis. Learn the ins and outs of correct documentation and coding from both a CPT and clinical perspective.

Objectives:

  • Discuss coding challenges related to high RVU emergency medicine procedures
  • Identify the key aspects of documentation that impact procedure code selection
  • Review specific emergency medicine procedures and their documentation requirements including abscesses, orthopedic care, and advanced airway tools

Observation Coding from the ED
Caral Edelberg CPC, CPMA, CAC, CCS-P

Course Time: 60 minutes

Observation services are growing in importance. ED groups are uniquely positioned to provide observation services to patients who may be able to avoid inpatient admission.

Objectives:

  • Discuss the coding complexities and RVU valuations associated with accurate reporting of observation services
  • Review best practices related to observation coding
  • Identify documentation requirements for use of the observation codes