Seminar Agenda
The Beyond Basics 2-day seminar is designed for all Emergency Department care and billing staffers - physicians, coders, nurses, support staff and management - interested in improving their business skills. We have found that when ED staff attend together as a team, they receive the best payback.
How Will Your Time be Spent During the Seminar Weekend?
Day 1
8:30 AM
- ED Reimbursement Almanac and RVU Update
- Keys to Reimbursement
Learn to identify what you are worth and document it to the penny. - ED Acuity Stats and Case Mix Analysis
Learn from the past and head in the right direction today. - Regulatory, Payment Policy and CPT Changes
Learn what's happened and what's in the works. - Key Changes in EM Payment Policies
Learn about visit levels, facility observation, and facility procedure coding. - Documentation and Coding for Evaluation & Management Services
Learn where the RVUs and money are lost & found. E & Ms: Learn the key factors for high acuity patients. - HPI, ROS, PFSH
Learn elements for documenting the history. How much is enough?
12:00 PM Noon
- Physical Exam
Learn to count what really counts. - Medical Decision Making – Diagnoses and Management Options
Learn how to get credit for the complexity of establishing your diagnosis and when a clinical impression better communicates your thought process. - Medical Decision Making – Data and Tests Reviewed
Learn how to "think in ink" and get credit for all the work of deciding what tests, old charts, consults and conversations with other providers need to take place – and how to get credit for being smart enough to decide not do tests or interventions. - Medical Decision Making - Risk of Morbidity or Mortality
Learn how and when certain differential diagnoses make all the difference in risk assessment and how to support the patient's risk potential with a brief but well-written ED course. - Putting E/M Principles Together
Learn how to communicate the value of emergency care. Examine case studies and make the principles practical.
Day 2
8:30 AM
- Critical Care: The Heart of Emergency Medicine
You should own this code. You will learn to define it properly, measure its value, capture all the revenue and RVUs, document appropriately, code accurately, and review cases. Time is of the essence. Find out what counts. It's not just bedside time. - Chart Examples of Atrial Fibs, Asthma, Overdoses, Weak and Dizzy, and Even Nosebleeds That Qualify
- Observation Care in the ED and Clinical Decision Unit
Obs is not just a unit. It pays more to know it's a decision process, not a unit. Learn how observation services benefit everybody, including the payer. Understand the "right path" to medical necessity, 5 key documentation points that prove the value of obs, and the 10 codes that define observation care. Participate in a complete review of cases that qualify. - EKGs and X-rays: Whose work is it?
Learn 8 reasons why interpretive services should be reported in addition to all other billable services, 6 reasons why many third parties balk at paying, and 6 reasons why we should be paid for these services. - Key Documentation Requirements for Proper Coding: There's More to It Than You Think
12:00 PM Noon
- Getting Paid for Procedures With E/M Services
- The 10 Most Commonly Asked Questions about Global Surgery Policy for Emergency Medicine:
Get specific answers and chart examples from CPT and Medicare - Essentials of Fracture, Dislocation and Splinting Care in the ED:
Learn which codes apply, what can and can't we bill for, and what needs to be done to prove the emergency physician's value. - Wound Care:
Learn why payment is not about the size of the wound, how to document and be paid for repairs of higher complexity. They may be more common than you know. - Other Procedures:
Gain specific coding and documentation advice for ultrasound, IV therapy, foreign body removal, I&Ds, conscious sedation, central lines, CPR, defibrillation, and other coding controversies. - Chart Review:
Learn how to apply correct coding policies to specific charts upon review. Or …Review specific charts for the application of correct coding policies.
