PROTIME FACILITY FOCUSED COURSES

Self-paced, interactive courses, providing up-to-date contemporary medical information.

Evaluation & Management Basics – Facility

The Medical Necessity Series: Clinical Criteria for Appropriate Admissions

The Facility Quality Discussion

Capturing Critical Care with Compliant Time-Based Coding

Service Delivery in the Surgical Global Period

Shared Visits and The Physician Provider

The Physician Advisor Curriculum

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Protime LLC > Facility Focused Course 1

The Evaluation and Management Basics – Facility

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.

Protime LLC > Facility Focused Course 2

The Medical Necessity Series: Clinical Criteria for Appropriate Admissions

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.

Protime LLC > Facility Focused Course 3

The Facility Quality Discussion

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.

Protime LLC > Facility Focused Course 4

Capturing Critical Care with Compliant Time-Based Coding

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.

Protime LLC > Facility Focused Course 5

Service Delivery in the Surgical Global Period

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.

Protime LLC > Facility Focused Course 6

Shared Visits and The Physician Provider

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?

Protime LLC > Facility Focused Course 7

The Physician Advisor Curriculum

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).