Avoid Denials! Code Hospital Services Correctly!

When surgeons treat patients in the Emergency Department, on observation and inpatient units—code selection and documentation are key. In order to be paid, you need to select the right type of service (category of code) and level of service describing the care you provided and documented. Selecting the wrong type of service leads to denials. Selecting the wrong level of service can lead to audits or under payments. While observation and inpatient services can be based on the key components or time, ED visits must be coded based on the key components. Learn when it is beneficial to use time in code selection, and how to document it. Join us to learn what you and your coders need to know about correct coding for hospital E/M services.

Accreditation:

The American College of Surgeons designates this enduring activity for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Of the AMA PRA Category 1 Credits™ listed above, a maximum of 1 credit meet the requirements for Self-Assessment.

Register for this on-demand course!

Learning Objectives

As a result of this course, participants will be able to:

• Determine the correct category of code
• Know when to use time to select the level of service, and how to document
• Select the level of service based on history, exam and medical decision making

What's on the Agenda

• Category of E/M ServiceEmergency Department Services
• Observation
• Inpatient

E/M Services Components

• History
• Exam
• Medical Decision Making

Consultations

Split/Shared Services

Modifiers 24 and 57