Coding and Billing Challenges for Physician Inpatient Services

Event Information
Product Format
Prerecorded Event
Kim Garner-Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC
60 minutes
Product Description

Learn to Correctly Choose Levels of Service, Appropriate Diagnosis and Critical Care Codes

Although dealing with a relatively small range of codes, coding and billing for inpatient services is rife with challenges – choosing levels of service, appropriate diagnosis coding, critical care coding, and coordinating with other specialists. Join this session, where coding and reimbursement consultant Kim Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC, will identify the issues and strategies for optimal documentation, correct coding, and maximum reimbursement.

You will learn how to distinguish observation versus inpatient encounters, how to correctly identify when critical care codes are supported, and how to appropriately bill for discharge services. You will learn to confidently code and bill for inpatient services, to ensure that your physicians are paid appropriately, and to appeal and influence payers for optimal payment.

Session Highlights

This session will discuss:

  • Documentation requirements for each type of service
  • Observation versus inpatient coding
  • Documentation and billing for critical care
  • Dealing with concurrent care issues
  • Whether there are still issues with consultations
  • Using non-physician practitioners
  • Time-based coding and prolonged services

Session Agenda

This session will cover:

  • Hospital admissions
  • Documentation issues
  • Subsequent visits
  • Hospital discharge
  • Hospital observation services
  • Subsequent observation care
  • Observation vs. inpatient
  • Admission/discharge same date
  • Consultation issues
  • Medicare consultations
  • Concurrent care
  • Multiple visits – Same day
  • Prolonged services – Inpatient
  • Critical care codes 99291-99292
    • Procedures included in critical care
    • Critical care time
    • Family discussions
    • Issues
    • Clinical aspect
    • Documentation
  • Palliative care
  • Advance care planning
  • CPT® time rule
  • Services in ED
  • Shared visits
    • Documentation
  • Diagnosis coding

Who Should Attend

  • Physicians
  • Coders
  • Billers
  • Internal medicine personnel
  • Hospitalists
  • Personnel in all other specialties that see inpatients

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About Our Speaker

Kim Garner Huey - Health Care Management Expert

Kim Garner-Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC, is an independent coding and reimbursement consultant, providing audit, training and oversight of coding and reimbursement functions for physicians.

Kim completed three years of pre-medical education at the University of Alabama before she decided that she preferred the business side of medicine. She completed a bachelor’s degree in health care management and went on to...   More Info
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