2311/08 Reimbursement Seminar

Nationally Acclaimed Speakers: Caral Edelberg, CPC, CCS-P, CHC and Ed Gaines, JD, CCP

Start time	Topic/Objectives
7:30-8:00am	Registration
8:00-9:00am	Overview of E/M Coding for the Emergency Department – What you may not know - (Edelberg & Gaines) This one hour lecture will provide insights into some elements of E/M coding that will help assure your compliance with Medicare audits. Included will be national E/M utilization statistics to help you identify how your practice compares to national and Virginia utilization statistics.
9:00-10:00am	Overview of Emergency Department Observation Coding – Hospital and Professional – (Edelberg & Gaines) Observation coding continues to undergo revisions for Medicare billing. ED clinicians are required to know the difference to assure that documentation provides the necessary details to allow accurate coding. This presentation will discuss coding and documentation requirements for both the hospital and professional billing.
10:00-10:15am	Break
10:15-11:15am	Emergency Department Procedures – Hospital and Physician – (Edelberg & Gaines) How the emergency department clinician documents op notes determines how services can be billed. What the emergency medicine team documents, combined with the services of consultants, determines how the hospital can bill for these important services. A discussion of the documentation and coding requirements for common ED services will include orthopedic services, wound care, foreign body removals, and infusions and injections will be provided.
11:15am-12:15pm	CMS and Medicaid – How This Collaboration Will Affect Your Practice – (Edelberg & Gaines) Medicare has assumed responsibility for auditing of Medicaid providers and payers and cautions that self disclosure of coding errors will avoid penalties that will be assessed when audits occur. This presentation will provide an update of CMS oversight of the Medicaid program with examples of coding issues you may want to avoid.
12:15pm-1:00pm	Lunch
1:00-2:15pm	Evaluation and Management Services – What They Tell Us About an ED Practice (Edelberg & Gaines) This session will provide tips on how to benchmark and trend the acuity in your ED practice through management of coding and billing information.
2:15-2:30pm Break	Coding Track	Physician Track
2:30-3:30pm	Review of Critical Care Coding and Documentation (Edelberg) Critical care and trauma activation are common components of ED coding but a review of how to determine critical care, how clinicians are required to document and when trauma activation can be coded will be discussed. Common examples of critical care clinical scenarios will be discussed.	Billing 101 for Emergency Physicians (Gaines) Regardless of how long you have been in practice, billing rules continue to evolve and you are at risk if your billing isn’t done correctly. This presentation will provide an update on hot topics in ED billing to include payer audit plans, billing and refund requirements, provider numbers (who needs them and what you do while you’re waiting!)
3:30-5:00pm	Case Review (Edelberg) Putting theory into practice is a necessity for emergency medicine coding professionals and clinicians who are responsible for overseeing the coding program for an emergency department practice. This session will provide several ED cases as examples of common ED coding challenges and provide open discussion of frequent controversial coding issues	PQRI – How it Effects Your Practice (Gaines) Overview of PQRI elements for emergency medicine and current Medicare activities. What you stand to lose and what you stand to gain by participating in this program.
5:00pm	END OF PROGRAM

This activity has been planned and implemented in accordance with the Essential Areas and Policies for the Accreditation Council of Continuing Medical Education through joint sponsorship of ACEP and the Virginia College of Emergency Physicians.

The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The American College of Emergency Physicians designates this educational activity for a maximum of 7.75 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in this activity.

Approved by the American College of Emergency Physicians for 7.75 hours of ACEP Category I credit.

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

This program has prior approval of the American Academy of Professional Codersfor 8.0 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content or the program sponsor

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

This activity has been reviewed and is acceptable for up to 7.75 Prescribed credits by the AmericanAcademy of Family Physicians.

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

Application for CME credit has been filed with AOA. Determination of credit is pending.