2021 Coding for Special E/M Services

2021 Coding for Special E/M Services: Consultations, Incident To Services, Shared Visits/Services, Observation Care, Critical Care, and Hospice Care

With the 2021 new office and outpatient changes in documentation and coding in healthcare spending, other unusual patient visits for care, decreasing reimbursements, and physician shortage, many urologists are looking at other sources of billing for visits that they may have not billed in the past. The definition and correct billing and coding for these visits become important to both urologists in general and specific types of urological practice...helping them to remain compliant with increasing payments for hidden but payable services and avoiding denials and loss of revenue. Didactic presentations and clinical scenarios will enlighten the attendees' knowledge and add to their understanding of the codes to use and when these visits are fully payable. Included in these special visits will be consultations, use of incident-to visits, shared visits, emergency room visits, critical care, use of observation services, and coding for hospice care. Today many of these services are not at all billed or coded incorrectly with loss of revenue, denials, or the necessity to refund money because of improper coding and reimbursements.

Tips on the proper coding of these special and often unappreciated services and their CPT codes will be reviewed and explained in detail often using clinical examples to enhance understanding and knowledge of these special services.

• How knowing the shared visit rules can save you lost revenue 
• The differences between "shared" and "incident to" visits
• How to submit NPP services and receive 100% of global payments
• Learn how to bill observation services
• When can you bill "incident to" services
• Review an "incident to" audit list provided for a clearer understanding of incident to billing
• When and how should one code for an emergency consultation in the emergency room
• How should one code for a consultation for a patient in observation care
• In what place of service, POS, should observation care always be billed
• What CPT codes should we now use for repeat consultations in the hospital
• What is required to bill for critical care services
• and much more

Physicians in general practice, urologists, urogynecologists, non-physician providers, pediatric urologists, surgeons, and all office and billing staff who code and post for carrier E/M payments.