cms’s-final-rule-for-office-outpatient-em-services

CMS’s Final Rule for Office/Outpatient EM services

Live Webinar

  • 60 minutes
  • 17 Days Left
     Aug 25, 2020
  •   01:00 PM - 02:00 PM ET
    10:00 AM - 11:00 AM PT

CMS has for the last several years focused proposed changes on high-value care for patients instead of cumbersome paperwork.  This session will focus on how new documentation rules for office/outpatient services 99202-99215 are intended to promote quality of care rather than paperwork.  Learn how to apply the new rules of medical decision making or time as the prime factors in determining the level of service while maintaining or improving reimbursement.  Also, discuss how Trump’s Patient over Paperwork program continues to drive CMS’s proposals for EM services and documentation standards and compare AMA’s new Decision-Making table from previous Decision-Making criteria.

Session Highlights:

  • Prepare offices for 1/1/2021 changes inappropriate documentation for office/outpatient codes 

  • Discuss reduced documentation changes to reduce burden on providers. 

  • Clarify the new proposed guidelines to base office EM services on time or decision making alone rather than the 3 key components of history, exam, and medical decision making. 

  • Understand the concept of total time versus counseling time. 

  • Identify how new guidelines may improve the office’s bottom line reimbursement. 

  • Review risk factors related to new documentation criteria for office/outpatient services.

Why You Should Attend:

All providers that bill office/outpatient codes regardless of their specialty will need to follow the new coding guidelines.

Who Should Attend:

  • Health Care Providers 

  • Coders and Billers 

  • Office Managers

  •  Auditors Denial 

  • Resolution Teams


You may ask your Question directly to our expert during the Q&A session.
** You can buy On-Demand and view it at your convenience.

Jan Rasmussen

Jan Rasmussen

Jan Rasmussen, PCS, ACS-OB, ACS-GI, ACS-GS- As a health care consultant Jan has more than 35 years of experience in physician billing, reimbursement and compliance. Jan is currently the owner of Professional Coding Solutions, a healthcare consulting firm. She has been a Certified Professional Coder (CPC) since 1992 with active membership in the American Academy of Procedural Coders (AAPC). As a member of the AAPC, Jan previously served on their Advisory Board as the liaison to the AMA, has been a speaker for the AAPC annual conference as well as contributing to the development of AAPC’s independent study and university education programs and proficiency tests. In 1994, she was honored by AAPC as Networker of the Year.  Jan was also a Regional Governor for the American College of Medical Coding Specialists (ACMCS) serving as Chair of the Ethics committee and a member of the Examination committee.

In her role as a physician consultant, she has participated in physician coding and documentation reviews including OIG government PATH and Champus audits, designed and conducted physician coding seminars nationwide. She has been a guest speaker for several conferences sponsored by United Communications, Inc//Decision Health, ACOG, AAPC as well as Coding Institute Specialty Conferences.

In previous consulting positions she was responsible for developing and conducting seminars for basic, intermediate and advanced ICD-9-CM and CPT, teaching physician guidelines as well as specialty seminars for OB/Gyn, Orthopedics, Urology, Gastroenterology, General Surgery, ENT, Cardiology, Emergency Medicine and Evaluation and Management. In here role as an educator she has been teaching E/M documentation and auditing to both physician and coding audiences since 1992 when RBRVS was first implemented.

Jan has also worked for several major health insurance payers in Wisconsin, was a coding advisor to the WPS Medicare Carrier Advisory Committee and served as the coding and reimbursement coordinator for a 37 provider, staff model HMO clinic.  As the coding and reimbursement coordinator, Jan was responsible for physician office, hospital, surgical and nursing facility coding, charge ticket development, fee development, reimbursement analysis, claims analysis and physician education.

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