Binder Resource

The binder features:

• » EM Seminars' coding policy and procedures (250 pages of original written material).
• » Practical coding charts and guidelines.
• » Examples of documentation practices that emphasize patient care and support reimbursement requirements.
• » Supportive letters and documents for auditors.
• » Jim Blakeman's entire set of PowerPoint presentations.
• » An overview on where billing has been and where it is going.
• » All you need to support compliance reimbursement training.
• » Updated Medicare guidelines - with interpretation and implications.

Section 1
Reimbursement Update & The Emergency Physician's Reimbursement Almanac

• 1. REGULATORY UPDATE:
  Medicare Outpatient Prospective Payment System & Current Physician Reimbursement Methodologies
• 1.0 Hospital Outpatient Prospective Payment and Coding for Facility Services
• 1.1 Current and Historic Physician Reimbursement Methodologies
• 1.2 Physician Reimbursement Update
• 1.A. REIMBURSEMENT & REGULATORY UPDATE:
  Compliance Planning - Audit Exposure And Fraud & Abuse Issues
• 1.B. REIMBURSEMENT & REGULATORY UPDATE:
  Managed Care Considerations
• 1.C. PHYSICIAN PROFILING FOR PRODUCTIVITY:
  Measurement Systems That Work

» RESOURCE MATERIALS FOR SECTION 1

Section 2
Evaluation & Management Services - Where The Money Is For Physicians

Evaluation & Management Services:

• Coding and Documentation Issues
  • 2.1 Why is the Chart Documentation So Important?
  • 2.2 ICD-9-CM Coding for Reasons for Treatment
  • 2.3 Facility Coding
  • 2.4 Emergency Department E/M Components
  • 2.5 Key Component: History
  • 2.6 Key Component: Examination
  • 2.7 Key Component: Medical Decision Making

» RESOURCE MATERIALS FOR SECTION 2

Section 3
A Critical Care and Observation Care Chart Review For Physicians

Critical Care & Observation Services:

• Coding and Documentation Issues
  • 3.0 New CPT Definition of Critical Care
  • 3.1 Key Indicators of Critical Care Events
  • 3.2 Documentation Issues
  • 3.3 Other Billing Issues
  • 3.4 Observation Care - Physician Services

» RESOURCE MATERIALS FOR SECTION 3

Section 4

Diagnostic Interpretive Services:

• Coding and Documentation Issues
  • 4.0 Reasons for Reporting Dx Interpretive Services
  • 4.1 Inspector General Looks at X-ray Payments
  • 4.2 Documentation Issues for Diagnostic Studies

» RESOURCE MATERIALS FOR SECTION 4

Section 5
Procedures & Visits: What's Bundled and What's Not?

Procedural Services & Global Surgery Policy:

• Coding and Documentation Issues
  • 5.0 Global Surgical Package Concept
  • 5.1 Global Surgical Package Chart Examples
  • 5.2 Procedure Documentation Issues

» RESOURCE MATERIALS FOR SECTION 5