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Speaker: Mrs. Barbara Pierce, CCS-P, ACS-EM |
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Barbara Pierce is a national speaker who has extensive knowledge in the area of coding and billing. Her strength is in CPT and ICD-9 coding as it is applied in medical practice. She is often asked to perform compliance audits and evaluations for practices and clinics of various specialties. Barb has worked with a variety of clients performing medical record reviews and education. As a presenter for ongoing chart auditing workshops sponsored by Decisional Health, she has become a nationally recognized speaker on the CMS/AMA documentation Guidelines. Barb developed the ACS-EM certification exam and study guide for the Board of Medical Specialty Coding, for which she leads the E/M Advisory Board. |
“This was very valuable information that I wish I had years ago. While in school or when starting my first NP job. In our profession, learning our value and working for that is priceless. This information will earn me the money and credit I deserve.” - Kayla, Oct 2010 |
Accommodations & LocationThe Rennissance St. Louis Airport is one of the closer hotels to the J.C. Penney Conference Center at UMSL, but other area hotels within minutes include: the Drury Airport, Hilton Garden Inn, Hilton St. Louis Airport. For special rates or arrangements, please contact us. The J.C. Penney Conference Center is located on the campus of the University of Missouri-St. Louis. Please click the link above for the Center's information, including details on nearby restaurants. St. Louis, MO 63121 J.C. Penney Conference Center Website |
Workshop Agenda and Objectives:• Review of Documentation Guidelines and CPT Descriptions • Review of Specific Requirements for Various E/M Codes • Creating a Chart-Auditing Program for Your Practice • Hands-On Auditing of Sample Notes • Applying Auditing Practices to Meet Your Own Needs |
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Friday, April 29 8:00 – 10:00 10:00 – 10:15 10:15 – 11:15 11:15 – 12:30 12:30 – 1:30 1:30 – 3:00 3:00 – 3:15 3:15 – 4:15 4:15 – 4:30 Saturday, April 30 8:00 – 10:00 10:00 – 10:15 10:15 – 11:15 11:15 – 12:30 12:30 – 1:30 1:30 – 3:00 3:00 – 3:15 3:15 – 4:00 4:00 – 4:30 |
CPT and ICD-9 Coding (Hands-on Coding with CPT and ICD-9 coding books) Break CPT and ICD-9 Coding, continued E/M Coding Lunch Top Ten Coding Compliance Issues Break Developing an Audit Work Plan Q and A Auditing for Primary Care (Hands-on auditing of sample notes to include family practice, internal medicine, pediatrics. Sample will include office and hospital notes.) Break Hands-on auditing for primary care continued Auditing for Specialists (Hands-on auditing of sample notes to include various specialties, office and hospital) Lunch Hands-on auditing for specialties continued Break E/M Auditing Quiz Wrap-up and Q and A |
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Background Information, News and Facts...The background data for this workshop is derived from the Centers for Medicare and Medicaid Services (CMS). This data provides additional evidence to support the purpose of this workshop. According to the medical records reviewed by CMS, providers overcoded by submitting documentation that supported a lower code, resulting in overpayment for services. In contrast, other providers submitted documentation that supported a higher code than the code submitted, resulting in undercoding and underpayment for services. In both cases, incorrect coding was a major category of errors associated with overpayments and underpayments. The data from the 2009 fee-for-service report showed that 7.5% (23 billion dollars) of the claims were due to overpayments and 0.4% (1.1 billion dollars) was due to underpayments. The total overpayment plus underpayments accounted for 7.8% (0.1 billion dollars). These figures are significantly higher than the previous year’s error rate of 3.6% (10.4 billion dollars) because of stricter adherence to the requirements for documentation. 1 In order to improve compliance and reduce improper payments to providers, the Medicare program has revised its 2010 targets and will implement a process that will result in stricter enforcement and adherence to its policies. In addition, corrective actions are in place to reduce the number of documentation errors. 1 Centers for Medicare and Medicaid Services. (2009). Improper Medicare fee-for-service payments report – November 2009 report.
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