Introduction to Emergency Department Coding - Included with your conference registration!

This session is great for emergency physicians and coders new to ED coding or are looking for a basic ED coding refresher - a perfect companion to get up-to-speed before the Advanced Procedure Coding for Emergency Medicine conference on Wednesday.

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

Tuesday – February 26

12:45 pm - 2:15 pm

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

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.
2:15 pm - 2:30 pm Break 
2:30 pm - 4:00 pm

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

Real world examples are key elements to solidifying knowledge of complex topics. Well-chosen case examples highlighting key teaching points will be presented and discussed with both physician and coder input.

Objectives:

  • Review real world ED records to demonstrate the documentation requirements.
  • Review common ED presentations and typical code assignments.
  • Describe a technique for coding an ED clinical record.

 

Advanced Procedure Coding for Emergency Medicine

February 27-28, 2019

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

Wednesday – February 27

7:30 am - 8:00 am Registration and Continental Breakfast
8:00 am - 9:00 am

2019 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 2019 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 2019 CPT and diagnosis coding changes for emergency medicine.
  • Discuss how the expanded CMS audit programs will impact your practice.
  • Identify the 2019 CMS regulatory changes related to emergency medicine practice including the impact of the 2019 Medicare fee schedule.
9:00 am – 10:00 am

Critical Care Coding: How to Get Physicians and Coders on the Same Page
Rebecca B. Parker, MD, FACEP

Providing critical care services often means one thing to coders and another to seasoned clinicians. 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.
10:00 am - 10:45 am Break - Visit the Exhibits
10:45 am - 11:45 am

Coding Controversies: Set A Course for Compliance and Avoid Rough Seas
Todd Thomas, CCS-P

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.
11:45 am - 1:15 pm Lunch (On your own)
1:15 pm - 2:45 pm

Lightning Rounds: Fracture Care, Telemedicine, Teaching Physician Attestations, ICD-10, and a 2019 Facility Coding Update
David A. McKenzie, CAE (Moderator); Caral Edelberg, CPC, CHC, CPMA, CAC, CCS-P; Michael A. Granovsky, MD, CPC, FACEP; Rebecca B. Parker, MD, FACEP; Todd Thomas, CCS-P

A 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 correct use of attestation statements.
  • Analyze the impact of the new ICD-10 codes.
  • Discuss coding complexities related to facility coding.
2:45 pm - 3:00 pm Break
3:00 pm - 4:00 pm

2019 Merit-Based Incentive Payment System (MIPS) Specifications and Solutions
Pawan Goyal, MD, MHA, CBA, PMP, FHIMSS, FAHIMA; Bill Malcom, MS, MBA, PMP

The PQRS program has been phased out and replaced by MIPS with even more at stake for your group and greater complexity. Do you have a clear understanding of the reporting requirements and a solution for your group? Expert presenters will provide a road.

Objectives:

  • Review the 2019 Medicare final rule Quality requirements.
  • Analyze the ED available Quality measures and specifications.
  • Discuss strategies for effectively meeting the MIPS Quality reporting requirements.
4:00 pm - 5:00 pm

Open Forum: Your Specific Coding Concerns Addressed
Michael A. Granovsky, MD, CPC, FACEP (Moderator); Caral Edelberg, CPC, CHC, CPMA, CAC, CCS-P; David A. McKenzie, CAE; Rebecca B. Parker, MD, FACEP; Todd Thomas, CCS-P

This interactive session is designed to address your most challenging concerns and questions to be addressed by an expert panel. Participants may submit questions in advance or onsite. Some of the biggest issues facing coders in their daily professional.

Objectives:

  • Discuss major issues presented throughout the conference, using actual examples gained in daily situations.

Thursday – February 28

7:30 am - 8:00 am Continental Breakfast
8:00 am - 9:00 am

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

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, fracture care and advanced airway tools.
9:00 am - 10:30 am

Advanced Coding Case Study Workshop
David A. McKenzie, CAE (Moderator); Caral Edelberg, CPC, CHC, CPMA, CAC, CCS-P; Rebecca B. Parker, MD, FACEP; Todd Thomas, 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.
10:30 am - 10:45 am Break
10:45 am - 12:15 pm Advanced Coding Case Study Workshop (continued)
12:15 pm - 1:30 pm Lunch (on your own)
1:30 pm - 2:30 pm

Observation Services: Expanding Opportunities; Professional and Facility Coding Solutions
Caral Edelberg, CPC, CHC, CPMA, CAC, CCS-P

Observation services are growing in importance. ED groups are frequently tasked with staffing observation units. Coding for these often multi-day stays can be complex. Are you up to the challenge?

Objectives:

  • Discuss the coding complexities and RVU valuations associated with accurate reporting of observation services.
  • Describe the latest information regarding Inpatient Status and the interplay between physician documentation and facility coding.
  • Identify documentation requirements for use of the observation codes.
2:30 pm - 3:30 pm

Open Forum: Your Specific Coding Concerns Addressed
Michael A. Granovsky, MD, CPC, FACEP (Moderator); Caral Edelberg CPC, CHC, CPMA, CAC, CCS-P; David A. McKenzie, CAE; Todd Thomas, CCS-P

This interactive session is designed to address your most challenging concerns and questions to be addressed by an expert panel. Participants may submit questions in advance or onsite. Some of the biggest issues facing coders in their daily professional.

Objectives:

  • Discuss major issues presented throughout the conference, using actual examples gained in daily situations.