Reimbursement is changing from procedure-driven to outcome-based payment. It is every provider’s fiscal responsibility to understand the revenue stream within a practice.
Provider education focuses on the clinical aspects of training while barely touching the business side of generating revenue for a practice through correct documentation and coding for services. Evaluation and management (E&M) documentation guidelines provide criteria for level of history, physical examination and medical decision-making performed to secure a billable for the provider service. Without a thorough understanding in the utilization of E&M guidelines—documentation to support CPT and ICD-10 coding levels—practice revenue stream can be affected. Put simply, when a service is under-coded revenue is lost and when a service is over-coded the overvaluing increases potential liability. Providers who can accurately document and code their services and position themselves for the value-based reimbursement changes bring value to a practice and add to the evidence base for the quality and cost-effectiveness of provider care.
- Know the tools for reimbursement
- Utilize the key components of evaluation and management to document and code a visit
- Learn how to code by time
- Demonstrate a knowledge of “incident to” billing.
- Identify audit triggers.
- Understanding of the Quality Payment Program and value-based reimbursement.
Includes all materials, lunch and 3 contact hours.
Date & Location
Thursday, October 19, 2017
Location: Northeastern University Alumni Center, Boston
Northeastern University Alumni Center
716 Columbus Avenue, 6th Floor
Boston, MA 02120
Primary Contact Information
Rebecca Love RN, MSN, ANP
Bouvé College of Health Sciences
102 Robinson Hall
Boston, MA 02115