Making Sense of the Newest Billing Guidelines: Practical Insights to Bill in Nursing Homes, Assisted Living and Independent Living
- Speaker:
- Steven Atkinson, PA-C, MS
- Duration:
- 2 Hours 05 Minutes
- Format:
- Audio and Video
- Copyright:
-
Aug 19, 2024
- Product Code:
- POS078903
- Media Type:
- Digital Seminar
Description
To understand billing is much like understanding a foreign language, since it takes time and commitment. Clinicians are prepared well for the delivery of patient care. However, the everyday life of a provider in the United States is one centered around knowing which billing codes are reimbursable. If we make mistakes, the entire practice can suffer the reimbursement consequence. Join Steven Atkinson, PA-C, MS, to learn how the newest billing codes allow you to reduce administrative burden, in favor of direct patient care. Leave with a win-win guide when you provide the best outcomes for the geriatric care you deliver.
Credit
Handouts/Brochure
| File type | File name | Number of pages | |
|---|---|---|---|
| Manual - Making Sense of the Newest Billing Guidelines (4.9 MB) | 60 Pages | Available after Purchase |
Speaker
Steven Atkinson, PA-C, MS Related seminars and products
Steven Atkinson, PA-C, MS, is a board-certified Physician Assistant specializing in Geriatric Internal Medicine. He practices medicine in the greater Minneapolis area. In addition to his private practice, he has been on the faculty at the University of Utah since 1994 and has been involved in medicine for over 30 years.
Steven is the co-founder of Twin Cities Physicians, which serves older adults at nearly all levels of their care. He has presented nationally for over 15 years, primarily speaking about geriatric-related syndromes.
Steven is the author of Geriatric Pharmacology: The Principals of Practice & Clinical Recommendations, Second Edition, and also sits on several boards whose purpose is to elevate the level of care in medicine for the patients they serve. Steven has been described as a “dynamic” educator and one of the most engaging presenters around.
Speaker Disclosures:
Financial: Steven Atkinson is the founder and co-owner of Twin Cities Physicians and Midwest Geriatrics Services, and he is the owner of Mindful Geriatrics, LLC. He provides legal counseling services to medical professionals and receives compensation. Steve Atkinson receives compensation for course development from Executive Links. He is adjunct faculty at the University of Utah. Steve Atkinson receives a speaking honorarium and recording royalties from PESI, Inc. He formerly owned stocks/shares in Moderna, Inc. He is a stock holder with Eli Lilly. All relevant financial relationships with ineligible companies have been mitigated.
Non-financial: Steven Atkinson is a member of the board for MDMA. He is a member of AMDA/PALTC, GMPA, and others. For a complete list, please contact info@pesi.com.
Additional Info
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Objectives
- Evaluate the most common geriatric billing codes and associated reimbursement errors.
- Analyze billing through the model of Medical Decision Making.
- Plan for billing codes based upon the Social Determinants of Health.
- Compare the billing differences between telehealth and telephone visits.
Outline
The CPT Focus
- Office or Other Outpatient Services
- Consultations
- Nursing Facility Services
- Home or Residence Services
- Telephone Visits
- Telehealth Visits
- Chronic Care Management
New and Established Patients
- Initial and Subsequent Services
- History and/or Examination
- Levels of E/M Services
Guidelines for Selecting Level of Service
- Based on Medical Decision Making
- The Four types of MDM
Number and Complexity of Problems Addressed
- at the Encounter
- Defining Risk
- Defining a Problem
- Amount and/or Complexity of Data to Be
- Reviewed and Analyzed
- Risk of Complications and/or Morbidity or
- Mortality of Patient Management
- Guidelines for Selecting Level of Service
- Based on Time
Deleted CPT codes
- 99241 - New or Established Patient
- 99318 - Annual HnP
- 99324-99328 - New Visit Codes Domiciliary Setting
- 99354-99355 - prolonged services
Consultations
- Telephone Visits
Office or Other Outpatient Consultations
- 99242-99245
- 99417
Nursing Facility Services
- Initial Care Codes (99304-99306)
- Subsequent Care Codes (99307-99310)
- Nursing Facility DC Services (99315-99316)
Domiciliary, Rest Home (eg, Boarding Home), or Custodial Care Services
- Initial Care Codes (99341-99342, 99344- 99345)
- Established Patient (99334-99337)
- Telephone Visits
- Telehealth Visits
- Chronic Care Management
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
- Physical Therapists
- Physical Therapist Assistants
- Occupational Therapists
- Occupational Therapy Assistants
- Speech-Language Pathologists
- Social Workers
- Counselors
- Nursing Home Administrators
- Physicians
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