E/M Coding Conference Agenda
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Day 1
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8:00 am - 9:00 am
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Registration and continental breakfast |
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Peter R. Jensen, MD, CPC
9:00 am - 10:00 am
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Documenting the History: A Clinical Approach
Building Blocks of History: 1995 vs. 1997
- Chief complaint
- HPI: brief vs. extended
- ROS
- Past medical, family and social History
- Approved shortcuts to streamline the history
Levels of History: Step-by-Step with Clinical Examples
- Problem Focused
- Expanded Problem Focused
- Detailed
- Comprehensive
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Peter R. Jensen, MD, CPC
10:00 am - 10:45 am |
Documenting the Physical Exam: 1995 vs. 1997
1995 Physical Exam Rules
- General considerations
- Definitions
- Numeric conversion: Where did this come from?
- Levels of Exam: Step-by-Step with Clinical Examples
- Problem Focused
- Expanded Problem Focused
- Detailed
- Comprehensive
1997 Physical Exam Rules
- General considerations
- Definitions
- Bullets and Organ Systems
- Levels of Exam: Step-by-Step with Clinical Examples
- Problem Focused
- Expanded Problem Focused
- Detailed
- Comprehensive
- Specialty Exams
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10:45 am - 11:00 am
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Coffee Break |
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Peter R. Jensen, MD, CPC
11:00 am - 12:00 pm |
Understanding the Key Component of Medical Decision-Making
- Quantifying your cognitive labor
- Official table of Medical Decision-Making
- Examining the Table of Risk
- The Medical Decision-Making Point System
- Variants on the MDM Point System (TrailBlazer)
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12:00 pm - 1:00 pm
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Lunch |
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Peter R. Jensen, MD, CPC
1:00 pm - 2:00 pm |
Rational Physician Coding for E/M Services:
Start Making Sense
- The current problem of irrational physician coding
- The importance of medical necessity
- Moving forward by working backwards
- Three steps for Rational Physician Coding
- Clinical Examples
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Peter R. Jensen, MD, CPC
2:00 pm - 2:45 pm |
Established Office Visits (99211 - 99215)
- Definitions and statistics
- How to Do it: Clinical examples
- Level 1 established office visit
- Level 2 established office visit
- Level 3 established office visit
- Level 4 established office visit
- Level 5 established office visit
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2:45 pm - 3:00 pm
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Coffee Break |
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Peter R. Jensen, MD, CPC
3:00 pm - 4:00 pm |
New Office Visits (99201 - 99205)
- Definitions and statistics
- How to Do it: Clinical examples
- Level 1 new office visit
- Level 2 new office visit
- Level 3 new office visit
- Level 4 new office visit
- Level 5 new office visit
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Peter R. Jensen, MD, CPC
4:00 pm - 4:30 pm |
Office "Consults"
- Definitions and statistics
- How to Do it: Clinical examples
- Level 1 outpatient consult
- Level 2 outpatient consult
- Level 3 outpatient consult
- Level 4 outpatient consult
- Level 5 outpatient consul
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Peter R. Jensen, MD, CPC
4: 30 pm - 5:00 pm |
Preventive Services |
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5:00 - 5:30 pm
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E/M Q&A |
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Day 2
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Peter R. Jensen, MD, CPC
9:00 am - 10:00 a.m. |
Admission H&Ps and Observation Care Services
- Definitions and statistics
- How to Do it: Clinical examples
- Level 1 H&P
- Level 2 H&P
- Level 3 H&P
- Observation Care Services
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Peter R. Jensen, MD, CPC
10:00 am - 10:45 am |
Hospital Progress Notes (99231 - 99232)
- Definitions and statistics
- How to Do it: Clinical examples
- Level 1 progress note
- Level 2 progress note
- Level 3 progress note
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10:45 am - 11:00 am
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Coffee Break |
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Peter R. Jensen, MD, CPC
11:00 am - 11:30 am |
Hospital "Consults"
- Definitions and statistics
- How to Do it: Clinical examples
- Level 1 inpatient consult
- Level 2 inpatient consult
- Level 3 inpatient consult
- Level 4 inpatient consult
- Level 5 inpatient consult
- Billing for hospital "consults" for Medicare patients
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Peter R. Jensen, MD, CPC
11:30 am - 12:00 pm |
Critical Care and Other Timed Services
- Coding based on time
- Critical care
- Prolonged services
- Discharge services
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12:00 pm - 1:00 pm
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Lunch |
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Peter R. Jensen, MD, CPC
1:00 pm - 2:00 pm |
ER E/M Services
- Definitions and statistics
- How to Do it: Clinical examples
- Level 1 ER visit
- Level 2 ER visit
- Level 3 ER visit
- Level 4 ER visit
- Level 5 ER visit
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2:00 pm - 2:15 pm
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Coffee Break |
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Peter R. Jensen, MD, CPC
2:15 pm - 5:00 pm |
Clinical E/M Coding Lab
- E/M roundtable and Q & A
- Common pitfalls and mistakes
- Real notes: Mistakes others have made
- Your cases
- Bring in your notes (without patient identifying information) for personalized review and documentation advice
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5:00- 5:30 pm
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E/M Q&A |
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