Mastering Medical Decision Making

Why Should You Attend:

This in-depth, 90-minute Webinar will cover the fundamentals of Evaluation and Management coding and documentation and provide an in-depth analysis of the Medical Decision Making (MDM) Process and its impact on the level of E & M service. Using specific clinical examples of Glaucoma, ARMD, Cataracts and an Injury the course will guide the participants through the different levels of MDM (Straightforward, Low complexity, Moderate complexity and High complexity), the specific documentation requirements and how they relate to the different levels of E & M (99213, 99214 and 99215)

Specific clinical examples combined with detailed and accurate documentation will ensure the level of service matches the documentation reported. This presentation will include an overview of coding Evaluation and Management encounters and how to properly document the History, Exam and Medical Decision Making.

Areas Covered in the Webinar:

• Fundamentals of an Evaluation and Management Encounter.
• Overview of the Medical Decision Making process and documentation Requirements.
• The Marshfield Clinic Medical Decision Making Point system as adopted by Medicare Carriers and the OIG.
• Apply the concepts learned to working case studies.
• Why 99.9 percent of EMR software packages will upcode your encounter.
• The importance of Medical Decision Making in 2010 due to Medicare’s dis-allowance of the E & M Consultation Codes.
• Specific documentation elements needed to quantify the level of MDM.
• How to explain the MDM process without scaring the doctors with the complexity of the Point System.
• Strategies on how to implement proper MDM documentation and coding in your clinic.
• Internet and additional Resources Jeff will provide a thorough review of this process, using real-life examples.

Who Will Benefit:

• Coders
• Coding manager
• coding auditors
• compliance director
• Providers

Jeffrey Restuccio
Owner, Ritecode and EyeCodingForum

Jeffrey Restuccio is the principal owner of Ritecode.com, a healthcare consulting company specializing in online training, live seminars, webinars, chart audits, and specialty consulting. Jeff is certified as both a CPC and a CPC-H from the Academy of Professional Coders (AAPC).

Jeff is an experienced educator and conducts training courses on CPT and ICD-9 coding and billing, auditing and compliance and has taught hundreds of live coding and billing seminars nationwide. He has audited over 10,000 medical records Jeff teaches specialty seminars on topic such as carrier-specific rules, medical decision making, auditing, compliance plans and winning appeals. His clients include Hospital Corporation of America, Hospital Management Association, St Jude Children’s hospital, the VA, DOD. and hundreds of small practices.

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