E & M Coding for Providers: Part I

Faculty

Needs Statement

Medicare has authorized Recovery Audit Contractors (RAC) to review Medicare claims for a three-year period with the goal of identifying billing and coding errors and collecting fees and penalties for incorrect claims. The evaluation and management code assigned by the physician during an encounter and supporting documentation are essential to accurate coding, billing and appropriate reimbursement. Penalties created by the RAC audits may jeopardize the viability of safety net providers. Well educated providers secure appropriate reimbursement and minimize the risk of incorrect claims and penalties.

Target Audience

Medical Directors, physicians, PAs and ARNPs

Objectives

Upon completion of this activity, participants should be able to:

1. Discuss the 3 KEY components and documentation requirements;
2. Describe the importance of the assessment and how it affects ICD-9 coding;
3. Recognize the importance of proper documentation regarding the plan of treatment.

Accreditation

CME
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the University of Kentucky College of Medicine and Kentucky Primary Care Association. The University of Kentucky College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of Kentucky College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The University of Kentucky College of Medicine presents this activity for educational purposes only. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected for presentations because of recognized expertise in their field.

Faculty Disclosure

Sherry Thomas, CCP, CCP-ASCEO, (speaker and planner) has no relevant financial relationships with commercial interests and does not intend to discuss the off-label use of a product.

No staff members have any relevant financial relationships to disclose.

Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation.

Activity Sponsorship

This activity is jointly sponsored by the University of Kentucky and Kentucky Primary Care Association.