E/M Documentation Guidelines: Bust Overpayments With Clean Claims

Clear

E/M documentation guideline confusion has caused a massive amount of overpayments for overcoded claims lacking supporting medical necessity, and payers are sitting up and taking note.

You simply must get this right, or you’ll be left having to pay back huge amounts in repayments and penalties.

To complicate matters, how you determine medical necessity is changing in less than a year for the first time in 25 years. Having clear E/M documentation and applying the correct guidelines is the only way to guard your practice against fraud and abuse and hefty overpayments. You absolutely must improve your E/M documentation guidelines use now, or the upcoming changes will cripple your practice.

You really can’t afford to wait. The AMA suggests you bring in coding support and experts to confirm your compliance, but this can be costly and time consuming. There is another option available, and expert coder and educator Kim Garner Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, can help.

Kim’s 60-minute online training is designed to help you learn how to use these guidelines correctly now and in the future.

She’ll walk you through how to successfully transition to the new E/M guideline changes, get it right the first time, and avoid the risk of audits and massive penalties.

Here are the key E/M documentation guidelines takeaways you’ll receive by attending this expert-led training:

  • Give providers full visit credit by dispelling CMS = CPT guidelines rumors
  • Comply now by safely switching between 1995 and 1997 when circumstances meet requirements
  • Compliantly reach higher levels using specialty-specific documentation
  • Prepare for documentation changes required by the 2021 E/M guidelines
  • Improve revenue by choosing 1995, 1997, and 2021 guidelines to your advantage
  • Spot supporting medical necessity documentation
  • Stop undercounting allowed elements with physician education tips
  • Prevent penalties by applying lessons from CMS regulations and audit programs
  • Save time by honing in on the EMR bullets you should actually count
  • Test your staff with real world scenarios explained in plain English
  • Reduce coding errors by advising physicians on each guidelines’ requirements
  • And much more…

To prevent fraud and abuse and overpayments, the AMA recommends providers start planning for the 2021 E/M overhaul right NOW.

The Academy also provided a readiness checklist that recommends you confirm your coding protocols, train your practice, update your compliance plan, and verify your EMR readiness right away.

By attending this upcoming expert-led coding training, you can improve your E/M practice protocol now and adjust it for the future for an overpayment-free practice.

Don’t wait. Register for this must-see online training today.

Meet Your Expert

Kim Huey
MJ, CHC, CPC, CCS-P, PCS, CPCOKGG Coding and Reimbursement Consulting, LLC

Kim is an independent coding and reimbursement consultant, providing audit, training and oversight of coding and reimbursement functions for physicians. Kim completed three years of pre-medical education at the University of Alabama before she decided that she preferred the business side of medicine.

She completed a Bachelor’s degree in Health Care Management and went on to obtain certification through the American Academy of Professional Coders and the American Health Information Management Association.

Recognizing the important position of compliance in today’s world, she has also obtained certification as a Certified Healthcare Compliance Consultant and a Certified Healthcare Audit Professional. Kim is also an AHIMA-approved ICD-10-CM trainer and has recently earned a Master of Jurisprudence in Health Law.

For over twenty-five years, Kim has worked with providers in virtually all specialties, from General Surgery to Obstetrics/Gynecology to Oncology to Internal Medicine and beyond. She has spoken at the national conference for numerous organizations.

Reviews

Wonderful, well presented!!
Debby Garlow
Claims Coordinator, BioSpine Institute
The webinar was very informational. It was presented so that people newer to the coding world could grasp the concepts.
Stacey Jackson
Lead Billing Liaison, Summit Radiology, PC
I loved the information, and the way it was presented. It was clear and easy to understand.
Chellie Phillips
Manager, Larsen Billing Service