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Emergency Medicine Coding and Reimbursement Conference
April 10-12, 2008 ~ Denver, CO

Pre-Conference Workshops
Thursday, April 10th
 
11:00pm - 1:00pm

Early Registration

1:00pm - 5:00pm

ED Coding Nuts & Bolts: Making Sure The Things You Do Every Day Get Paid
Presenter: Jeffrey Linzer Sr., MD, FAAP, FACEP and Dennis Beck MD FACEP

The more frequently you report a service, procedure or diagnosis, the more likely you’ll do it correctly, right? Not so fast. If you make just one mistake with these common codes, it could put a big dent in your practice’s bottom line — precisely because the codes show up so frequently on your claims. In this workshop, we’ll nail down the services, procedures and diagnosis codes you report all the time and make sure that you’re getting the ethical payment you deserve … all of it.

2:45pm - 3:15pm
Refreshment Break - Exhibits


Conference Day 1: Main Sessions
Friday, April 11th
 
8:00am - 9:00am

Registration, Continental Breakfast & Exhibits

9:00am - 10:00am

PQRI: Are You In or Out?
Presenter: Dennis Beck MD FACEP

The voluntary Physician Quality Reporting Initiative puts practices on one of two sides: in or out. Get the information to judge whether enrollment is right for your practice. We’ll teach wannabes how to join and enrollees the typical ED measures to watch for. Finally, navigate the denominator codes, learn when to apply a modifier and get answers to common reporting questions.

10:00am - 11:00am

How to Draw the Observation Line so You Don’t Step Over It
Presenter: Carol Edelberg, CPC, CCS-P, CHC

Frequently, ED coders have to manage the differences between reporting rules for the professional and hospital billing for observation services. During this session, get advice from the expert on clinical and documentation requirements that qualify services for observation and exactly what differentiates them from other services your physicians perform in the ED.

11:00am - 11:15am
Refreshment Break
11:15am - 12:15pm

Trauma Team to the ED … Stat!
Presenter: Carol Edelberg, CPC, CCS-P, CHC

A trauma patient comes into the ED, and your ED and Trauma physicians worked feverishly to stabilize him — and keep him that way. This session is your chance to make sure that you’re capturing every service and procedure you can so that your doctors get the payment they’re entitled to for all that hard work. Your expert speaker weighs in with tips, strategies and tricks of the trade that you can’t live without.

12:15pm - 1:15pm
Lunch & Exhibits
1:15pm - 2:15pm

New 2008 Critical Care Rules: What You Need to Know Now
Presenter: Carol Edelberg, CPC, CCS-P, CHC

Critical care may not be what you think, but it’s definitely worth your while. During this session, you’ll learn exactly what care qualifies as critical, where you can provide it, what’s included and how time affects everything.

2:15pm - 3:15pm

What’s Included? The Answer May Surprise You
Please add Kevin Solinsky, CPC

Are you capturing your physicians’ anesthesia services in the ED? They’re not always bundled with the other procedures performed. In particular, you can frequently report digital blocks and moderate sedations separately. Learn when you can ethically submit these codes for extra reimbursement that your doctors deserve.

3:15pm - 3:30pm
Refreshment Break
3:30pm - 4:30pm

FBR vs. I&D — They’re More Alike Than You Think
Presenter: Jeffrey Linzer Sr., MD, FAAP, FACEP

Can you recognize when an incision and drainage turns into a foreign body removal? Sometimes it’s obvious, but other times … not so much. We’ll show you exactly what to look for so you know which procedure and diagnosis codes to assign every time.

4:30pm - 5:30pm

ED Services for the Crayola Set: How to Keep the Red Off Your Pediatric Claims
Presenter: Jeffrey Linzer Sr., MD, FAAP, FACEP

Pediatric patients can present challenges not only with their care but with documentation, coding and billing. This session will review those issues that can help keep your services from being down coded - or rejected.

5:30pm - 6:30pm

Cocktail Party



Conference Day 2: Main Sessions
Saturday, April 12th
 
8:00am - 9:00am

Continental Breakfast & Exhibits

9:00am - 10:00am

NPPs in the ED: How to Do the Mid-Level Provider Mambo
Presenter: Kenneth Engel, CPC, CHC, ACS-EM, CCP

Our expert presenter will tell you everything you need to know about what physician/NPP shared services rules apply in the ED, how to compliantly code and bill incident-to services to Medicare and private payers, and strategies to ethically maximize revenue for ED procedures and services. There’s more to it than you think.

10:00am - 10:15am
Refreshment Break
10:15am - 11:15pm

9 Keys to Reporting Fracture Care — ED Rules You Can’t Code Without
Presenter: Kenneth Engel, CPC, CHC, ACS-EM, CCP

Understanding the coding requirements for fracture care means you have to know CPT and Medicare global surgical rules so you recognize what procedures you can bill with and without ED codes. But that’s not the end of it — you have to watch your modifiers for both the E/M and the procedures. This session will give you an in-depth look at the coding rules for orthopedic services in the ED and how adding other services impacts your final coding decision.

11:15am - 12:15pm

Should You Follow CPT or Medicare? Making the Wrong Call Could Hurt You
Presenter: Kenneth Engel, CPC, CHC, ACS-EM, CCP

ED coding is full of gray areas, and one of them is trying to determine whose rules to follow: CPT or Medicare. Frequently, they’re the same … but not always. And sometimes, minor differences can be claim-killers, even though you thought you had it right to begin with. This session will show exactly which rules you’ll need for clean claims and quick claim turnaround no matter what service your physicians provide.



Post-Conference Workshop
Saturday, April 12th
 
12:30pm - 4:30pm

Practice Makes Perfect … And Here’s Your Chance
Please add Kevin Solinsky, CPC

There’s nothing better for pulling all the coding rules together than using them to correctly code an ED record from start to finish. This session will dissect real medical records and provide an open forum to discuss documentation, coding rules, variations in the coding selection and how the diagnosis impacts medical necessity. You’ll also get a brief review of coding tools to assist you with determining E/M levels by various means (CPT, Medicare, etc.).

 

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