CPT® Changes 2016: New Prolonged Service Codes

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

Get Insight of Prolonged Service Code Changes in 2016 and Use Them Correctly for increased Reimbursement!

Prolonged service codes exist to allow for additional payment to the provider for time spent above and beyond typical times. In 2016, new Prolonged Clinical Staff Services with Physician or Other Qualified Health Care Professional Supervision code joins the Prolonged Service codes for physicians and other qualified healthcare professionals in both “face to face” and “non face to face” situations. A full understanding of these codes may help your practice capture dollars that you have been losing unintentionally.

Join expert speaker Jill M. Young, CPC, CEDC, CIMC, as she discusses new Prolonged Service codes in 2016. You will get a better understanding of these codes helping you boost your reimbursement.

Session Highlights:

  • 2016 changes to CPT® prolonged care codes.
  • Know the varying thresholds for use of these time-based codes.
  • Understand appropriate documentation of time in the patient’s record.
  • Identify situations where your providers are spending time and not being compensated for it.
  • Prolonged clinical staff services with physician or other qualified health care professional supervision.
  • Counseling and coordination of care.
  • Learn how to read the federal register and CPT® manual to understand key points of prolonged service codes.
  • Make your own time chart to post in the office as a reminder and reference for use of these codes.

Jill will discuss:

  • Prolonged Service with Direct Patient Contact
  • Office or Outpatient Setting
  • Inpatient or Observation Setting
  • Prolonged Code Combinations – 99215-99216
  • Document Requirements
  • CPT® Time
  • CPT® Assistant
  • Prolonged Physician Services
  • MCM Chapter 12: Section 30.6.1.C
  • Pre-Operative Clearance Visit
  • Office – 45 Minute Service
  • Hospital – 60 or 80 Minute Service
  • Special Coding Situations
  • Telemedicine
  • Prolonged Services WITHOUT Direct Face-to-Face Patient Contact Service
  • Documentation of Time

Who should attend?

  • Office managers
  • Coders
  • Billers
  • Physicians
  • Clinical staff

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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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