CPT® codes 99221-99223 are on CMS’s audit hotlist. So if you’re reporting the professional charges for your physician’s hospital services, you have to be extra careful. Considering the revenue at stake, getting it wrong really isn’t an option.
And the trouble doesn’t stop there. CMS is also targeting 99231-99233, 99220, and 99291-99292, among others. So that means professional services associated with observation, subsequent care and critical care are all in the agency’s cross-hairs.
To get paid correctly for your rounding and other services provided to patients in the hospital, you must master standard E/M coding guidelines. And you also have to know the nuances of correctly reporting 9 additional key E/M coding areas (observation care, concurrent care, consultations, prolonged services, subsequent care, discharge management, critical care, shared/split services, and scribe requirements). No wonder CMS has this under the microscope.
You can get everything you need to code your E/M professional services for inpatients correctly in only 90 minutes by attending the on-demand training by coding expert, Mary I. Falbo, MBA, CPC, CEO. Mary will provide you with proven, step-by-step tactics to improve your overall E/M inpatient accuracy and reimbursement, while making sure that you don’t trigger any CMS tripwires.
During this 90-minute on-demand training, you’ll receive clear, plain-English guidance to master each of challenging E/M inpatient coding areas. Here are just a couple of proven tactics you’ll receive:
According to Medicare, only 45% of E/M claims are filed correctly, and that includes professional charges for hospital patients. This means that you could be leaving 55% — or more — of your E/M reimbursement on the table. This is money you deserve to receive, and you can get it with a little help.
This session is a must-attend even if you only file one inpatient E/M claim. Don’t wait. Order this on-demand training session today and start getting paid more of what you deserve for your inpatient services.
Meet Your Expert: Mary I. Falbo, MBA, CPC
Mary Falbo is the CEO & Founder of Millennium Healthcare Consulting, Inc.®. She and her team of professionals have over 25 years of experience in the industry with a focus on physician compliance, coding, billing, and reimbursement issues. She helps clients identify, plan and implement the best strategic approach to their coding, compliance and revenue enhancement needs. Not only does Mary educate and empower them on how to maintain documentation and coding compliance but also on how to use the information to strengthen their revenue stream in an era of reform. Her integrated team of experts is also poised to assist client’s counsel in certain compliance audits and investigations.