|
Speaker |
Toni Elhoms |
|
Industry |
Healthcare |
|
Speciality |
Medical Billing Coding Webinars |
|
Available |
All Days |
|
Duration |
60 Minutes |
Description
Evaluation and Management (E/M) services are the most frequently reported services across most medical specialties. For the first time in over 25 years, the coding guidelines for E/M services changed significantly in 2021 for office-based/outpatient services. Now, substantial changes will be implemented in the observation, emergency department, and inpatient setting for E/M services. These new documentation requirements will have a massive impact on providers’ clinical documentation and reimbursement rates. History and physical examination will no longer be used to calculate appropriate E/M levels of service along with extensive updates for each category of medical decision-making. In today’s webinar, we discuss the proper application of the new E/M guidelines, clinical documentation requirements, leveling methodology, when time-based coding is applicable vs. leveling based on medical-decision-making, proper application of prolonged service codes, and clinical documentation scenarios to score out based on the new leveling methodology.
Learning Objectives
Areas Covered
Background
After epic changes to Evaluation and Management (E/M) services were enacted in 2021 to ultimately reduce the administrative burden for healthcare providers, the industry prepares for brand new changes and leveling methodologies that will apply to inpatient, observation, consultations, emergency department, home & residential visits, and skilled nursing facility E/M codes.
Why Should You Attend
Healthcare is a multi-trillion-dollar industry that remains highly regulated. With new guidelines comes new clinical documentation requirements. When organizations bill for services, they are reimbursed on a good-faith basis with the expectation that clinical documentation supports the services reported and regulatory compliance has been met. With E/M services being the most reported services among providers at large, they remain a moving audit target
Who Should Attend
(CCS, CPC, CPMA, CRC)
Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer is an internationally known speaker and recognized subject matter expert on medical coding, reimbursement, compliance, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC (ACE). She holds multiple credentials with the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). Toni's expertise extends to both inpatient and outpatient coding, compliance, billing, and reimbursement. She serves as ACE’s Senior Consultant and conducts training and educational seminars across the country. With well over a decade of industry experience, Ms. Elhoms has led and supported hospital systems, universities, physician practices, payers, law firms, government agencies, and other entities on coding, billing, and compliance initiatives.
Toni is a frequent contributor to various media outlets, a highly sought-after conference speaker, and a regular guest on industry podcasts. She frequently serves as an expert and consulting witness in both civil and criminal litigation matters. Ms. Elhoms was appointed as an editorial advisory board (EAB) member for The Coding Institute (TCI) in 2020. She created and regularly hosts the Alpha Coding Podcast series (rated a top industry podcast) to share her industry Pro-Tips. She is a regular volunteer and mentors a network of Revenue Cycle Management (RCM) and Health Information Management (HIM) professionals across the United States.