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Critical Quandaries: Document, Code, and Defend Critical Care Services

Product Code: YMPDA091417D

Quick Overview

Regardless of their specialty, even well-seasoned coders and auditors can be stumped by the rules for critical care coding. Expert speaker Linda Duckworth will provide the audience with tips for identifying critically ill or injured patients, discuss documentation requirements, and then cover the limitations of coding for non-physicians and residents. The presentation will include clinical examples for a more thorough understanding.

Price: $199.00

Critical Quandaries: Document, Code, and Defend Critical Care Services

Critical Quandaries: Document, Code, and Defend Critical Care Services

Recorded •  Thursday, September 14, 2017

Presented by:
Linda Duckworth

Level of Program:
Basic

Regardless of their specialty, even well-seasoned coders and auditors can be stumped by the rules for critical care coding. Since Medicare continues to identify high error rates in critical care payments, it’s imperative that physicians and coders understand their expectations, what documents to release for an audit, and key terms to use for appeals.

During this 60-minute presentation, expert speaker Linda Duckworth will provide the audience with tips for identifying critically ill or injured patients, discuss documentation requirements, and then cover the limitations of coding for nonphysicians and residents. The presentation will include clinical examples for a more thorough understanding.

“Critical Quandaries: Document, Code, and Defend Critical Care Services” will be beneficial to entry-level coders, coding educators, and those working in quality assurance.

At the conclusion of this on-demand program, participants will be able to:

  • Understand what the documentation must contain to show the high-complexity decision-making that payers expect for critical care codes
  • Understand what counts as critical care work, and how to calculate the time the provider spent on critical care services, to receive the revenue they’re due
  • Identify additional services that may be reported separately, along with guidance for unbundling edits
  • Get tips for training providers to document their work to speed up the revenue cycle

Agenda

  • The definition of a critically ill or injured patient
  • Who may provide critical care services, and where may they be performed
  • The essential elements of critical care codes 99291 and add-on code 99292
  • Calculating time for all work related to the patient’s treatment, including non-face-to-face work
  • Documentation best practices to ensure claims withstand payer scrutiny
  • Bonus: Boost your audit response—Identify the records that are vital when your critical care claims are audited

Who Should Listen? 

  • Coders and billers who submit Part B claims

Your Expert Presenter

Linda DuckworthLinda Duckworth has over 30 years of experience in healthcare, encompassing physician practice management, staff/physician education, and compliance. For the past 16 years, she has focused on the areas of audits, corporate and HIPAA compliance, and consulting. She has developed surgical and E/M audit programs for a multitude of specialty practices, as well as CME and CEU training courses for physicians and staff. She has authored articles for coding, reimbursement, and physician specialty industry publications and spoken at conferences on topics such as documentation, preparing for and responding to payer audits, correct coding, and compliance. Duckworth currently sits on a local college advisory panel for those seeking degrees and certifications in healthcare. She is a senior managing consultant and compliance officer with Soerries Coding & Billing Institute, where she concentrates her efforts on regulatory issues and assists physicians with third-party payer challenges.