CMS’s Final Rule for Office/Outpatient EM services 2021

On Demand

  • 60 minutes
  • 0 Day Left
     May 25, 2021 - Jun 30, 2021
  •   08:00 AM - 09:00 AM ET
    05:00 AM - 06:00 AM PT

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 hands on application of the new documentation rules for office/outpatient services 99202-99215.  Learn how to apply the new rules of medical decision making or time as the prime factors in determining the level of service rather than considering the extent of the history and exam in addition to medical decision making. 

Session Highlights:

  • Prepare offices for 1/1/2021 changes in appropriate documentation for office/outpatient codes 

  • Review risk factors related to new documentation criteria for office/outpatient services. 

  • Audit case studies based on the 2020 guidelines versus the 2021 risk table Identify scenarios where the new guidelines may increase levels of service 

  • Apply the concept of total time versus counselling time. 

  • Evaluate the documentation necessary to support a level III versus a level IV service. 

  • Understand types of presentations that might only support a level II service. 

Who should attend

  • Providers Coders 

  • Office managers 

  • Auditors 

  • Denial Resolution Teams

*You may ask your Question directly to our expert during the Q&A session.

** You can buy On-Demand and view it at your convenience.

Jan Rasmussen

Jan Rasmussen

Jan Rasmussen, PCS, ACS-OB, ACS-GI, ACS-GS- As a health care consultant Jan has more than 35 years of experience in physician billing, reimbursement and compliance. Jan is currently the owner of Professional Coding Solutions, a healthcare consulting firm. She has been a Certified Professional Coder (CPC) since 1992 with active membership in the American Academy of Procedural Coders (AAPC). As a member of the AAPC, Jan previously served on their Advisory Board as the liaison to the AMA, has been a speaker for the AAPC annual conference as well as contributing to the development of AAPC’s independent study and university education programs and proficiency tests. In 1994, she was honored by AAPC as Networker of the Year.  Jan was also a Regional Governor for the American College of Medical Coding Specialists (ACMCS) serving as Chair of the Ethics committee and a member of the Examination committee. In her role as a physician consultant, she has participated in physician coding and documentation reviews including OIG government PATH and Champus audits, designed and conducted physician coding seminars nationwide. She has been a guest speaker for several conferences sponsored by United Communications, Inc//Decision Health, ACOG, AAPC as well as Coding Institute Specialty Conferences. 

In previous consulting positions she was responsible for developing and conducting seminars for basic, intermediate and advanced ICD-9-CM and CPT, teaching physician guidelines as well as specialty seminars for OB/Gyn, Orthopedics, Urology, Gastroenterology, General Surgery, ENT, Cardiology, Emergency Medicine and Evaluation and Management. 

In here role as an educator she has been teaching E/M documentation and auditing to both physician and coding audiences since 1992 when RBRVS was first implemented. 

Jan has also worked for several major health insurance payers in Wisconsin, was a coding advisor to the WPS Medicare Carrier Advisory Committee and served as the coding and reimbursement coordinator for a 37 provider, staff model HMO clinic.  As the coding and reimbursement coordinator, Jan was responsible for physician office, hospital, surgical and nursing facility coding, charge ticket development, fee development, reimbursement analysis, claims analysis and physician education.

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