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Introduction to CPT, ICD-9-CM, and Evaluation and Management Coding (Basic)
2008 Introduction to CPT, ICD-9-CM, and Evaluation and Management Coding
Who should attend? Surgeons and their staff who are new to coding.
Purpose: This course is an introduction to CPT and ICD-9-CM coding principles. Attendees will learn the three key components required for evaluation and management levels of service and appropriate documentation for: history, physical examination, and medical decision-making. Review category definitions to select a new patient, established, or outpatient consultation code.
Avoid making costly coding mistakes: learn the reimbursement rules and when to appeal inappropriate denials. Explore the importance of key financial reports along with steps to improve the reimbursement process. Please bring your coding books (CPT 2008, ICD-9-CM 2008, and HCPCS) to the workshop.
Program Benefits: At the conclusion of Introduction to CPT, ICD-9-CM, and Evaluation and Management Coding, participants will be able to identify and prevent mistakes made in ICD-9-CM coding, understand the importance of reimbursement rules to minimize denials, choose the correct category and level of evaluation and management service, ensure the evaluation and management documentation meets the requirements for the level of service and category reported, and appropriately apply modifiers to evaluation and management services.
Program
| 7:00 - 8:00 am |
Continental Breakfast |
| 8:00 – 8:15 am |
Welcome and Introduction |
| 8:15 – 10:00 am |
E/M Services
Categories of services
- New patients, consults, established visits
Medical necessity of E/M services
Hospital services outside the global
- Initial hospital services, subsequent visits, and critical care
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| 10:00 – 10: 15 am |
Break |
| 10:15 – 12:00 noon |
E/M Services continued
Selecting a level of service
- Documentation guidelines
- Using time
Global Surgical period
- Procedures and E/M services on the same day
- Preoperative History and Physical Definitions
- Global Package Reimbursement
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| 12:00 noon – 1:00 pm |
Lunch |
| 1:00 – 2:45 pm |
Coding for the non-coder, or Where do they get these rules?
CPT, HCPCS and ICD-9 coding
- Using the books, conventions of them
- Indexes
- How to select a code
Alphabet soup
- Medicare Physician Fee Schedule Data Base, including status indicators, RBRVS
- NCCI
- LCDs, NCD’s, ABN’s, NEMBs
Who is looking over your shoulder?
- OIG Work Plan
- CERT Reports
- Recovery Audit Contractors
- Carrier requests
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| 2:45 – 3:00 pm |
Break |
| 3:00 – 4:00 pm |
A/R Review – how do you know if your staff is doing a good job
- Aging reports
- Denial review
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Evaluation Form |
Revised March 31, 2008
Coding and Practice Management Workshops
Advocacy and Health Policy
This page and all contents are Copyright © 2003-2008
by the American College of Surgeons, Chicago, IL 60611-3211
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