PROTIME FACILITY FOCUSED COURSES
Self-paced, interactive courses, providing up-to-date contemporary medical information.
Self-paced, interactive courses, providing up-to-date contemporary medical information.
The Ambulatory E/M Services session is reviewed and we integrate where the Facility needs cross over.
The desire for correct documentation to capture the correct codes for admission, the discharge service codes as well as the correct documentation and coding of the subsequent rounding of the provider are all addressed in this session.
The essence of the two-midnight rule from CMS is elaborated upon here as well as the discussion over the clinical correctness of various disease states being admitted.
Once in-house, however, the documentation to capture the severity is paramount.
Several clinical areas such as CHF, AKI, Pneumonia, COPD, Sepsis, and others are covered here.
The facility-based quality discussion is long-standing and is usually tied to much larger economic risk than the outpatient metrics.
CMS and commercial carriers’ measures need to be understood and the focus on addressing these needs to be clearly understood as well as potential strategies to address corrective steps needed for optimal quality care delivery.
The ability to have compliant critical care service billing starts with understanding what critical care is.
After we understand this concept, applying the documentation rules to this much-valued service is key.
Other time-based codes associated with prolonged services added to basic visits in the facility setting will also be covered in this session.
Addressing the confusion that often surrounds this topic is needed in most facilities. How and when to use modifier -25, modifier -24, and others is addressed in this session.
The appropriate documentation to show the medical necessity is met can often only be understood in the context of a peer-to-peer dialogue.
This session will serve as a foundation of knowledge to start that discussion.
As NPPs (NPs and PAs) continue to influx into the work environment and become key team members, the clinical relationship needs to be correctly documented and billed.
But how? When can we do the visit as shared? What about “incident to”?
How much documentation is needed by the physician… or the NPP? How do we bill and does the physician get the RVUs … or not?
Ability has imbedded content to allow for physicians to be empowered to assume roles as Utilization Case Management Physician Advisors.
The Role of the Physician Advisor has expanded and exploded since 2011 and today this valued provider stands as a key stakeholder in the world of inpatient/observation, length of stay, CDI, appeals and denials, and quality as well as multiple other areas.
Pricing for these sessions can be tailored to the needs of the system/individual physician.
This is good to on-board first-time PAs or for a review of the basic information for success for all existing PAs.
Contact Protime support (support@protimellc.com) for more information on the PA Curriculum. (several sessions integrated together).