Prolonged Care Codes – Worth the Time to Consider Due to New Payment Systems

Event Information
Product Format
Prerecorded Event
Jill M. Young, CPC, CEDC, CIMC
60 minutes
Product Description

Capture Lost Dollars with Correct Use of Prolonged Care Codes and Compliant Documentation

Spending time with a patient above and beyond the typical time published for the Evaluation and Management service, is not time or money lost. Prolonged care codes exist to allow for additional payment to the provider for this time spent. In 2016 a new Prolonged Clinical Staff Services code was created. In 2017, Medicare will not allow payment for both of the provider Face-to-Face and Non-Face-to-Face prolonged care codes.

This conference by expert speaker Jill M. Young, CPC, CEDC, CIMC, will explain each code, their use and what is needed for compliant documentation. A full understanding of these codes will help your practice capture dollars you have been losing unintentionally.

Session Highlights:

  • Documentation differences for Prolonged Care Codes – CMS to CPT®
  • In the Alphabet soup of patient care codes (TCM, CCM, CPO), what are the billing implications when Prolonged Care time overlaps with these codes?
  • Documenting time for these care codes, what is required and what time counts?
  • What are the major differences in Prolonged Care codes for physicians and those for clinical staff?
  • Post the enclosed time grid as a guide for your physicians on what the time thresholds are for the various E&M codes?
  • Chart listing of  other patient care codes and how they are considered for payment with Prolonged Care
  • Compare the language on use of Prolonged Care codes for CMS with  CPT®

Who Should Attend

  • Coders
  • Billers
  • Office Managers
  • Office Administrators
  • Physicians
  • Non-physician practitioners

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About Our Speaker

Jill M. Young - Pulmonology Guidelines Expert

Jill Young, CPC, CEDC, CIMC, is the Principal of Young Medical Consulting, LLC, A company founded 11 years ago to meet the education and compliance needs of physicians and their staff. Jill has over 30 years of medical experience working in all areas of the medical practice including clinical, billing and rounding with physicians. Her comments and opinions can be seen in several publications and also...   More Info
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