Online training updated regularly for current regulations, includes a newly added module on coding for longitudinal care.
Learn to properly code and document clinical activities to represent the true complexity of your patient care and optimize reimbursement. Fifteen self-paced interactive activities address how to correctly identify all payment sources and accurately bill for high-complexity care.
Module 1: Diagnosis Coding and Core Knowledge
Learn about the diagnosis and service coding systems used by all billing clinicians.
Module 2: Hierarchical Condition Categories and Value-Based Payment
Succeed in value-based payment programs by coding more accurate diagnoses and capturing hierarchical condition categories (HCCs).
Module 3: Inpatient & Observation Evaluation and Management (2023 Update)
Properly report initial hospital day codes 99221-99223 and subsequent hospital day codes 99231-99233.
Select same day admission and discharge codes 99234-99236, hospital discharge day codes 99238 and 99239, critical care codes 99291 and 99292, ventilator management codes 94002-94004, inpatient prolonged service code 99418, and consultation codes 99242-99245 and 99252-99255.
Select neonatal care codes 99460-99469, delivery room service codes 99464 and 99465, neonatal and pediatric critical care codes 99471-99476, neonatal intensive care codes 99477-99480, critical care time codes 99291 and 99292, and common separable procedure codes.
Select outpatient service codes 99202-99205 and 99211-99215 using the new 2021 guidelines.
Capture payment for prolonged office services using codes 99417 and G2212, prolonged face-to-face time with codes 99354 and 99355, and non-face-to-face prolonged care with codes 99358 and 99359.
Properly represent the expertise of your outpatient consultation services using codes 99242-99245.
Properly report adult preventive medicine visits codes 99385-99387 and 99395-99397, well-child service codes 99381-99384 and 99391-99394, the “Welcome to Medicare” visit codes G0402-G0405, Medicare Annual Wellness Visits codes G0438-G0439, advance care planning codes 99497 and 99498, and modifier -33.
Module 10: Concurrent Procedures and E/M Services
Capture all components of a multi-service visit by properly reporting code 99024 and modifiers -50, -51, -57, -24, and -25.
Module 11: Concurrent Preventive and E/M Services
Represent the complexity of preventive services through use of modifiers -25 and –33 and by reporting substance use counseling codes 99406-99409, advance care planning codes 99497 and 99498, intensive behavioral therapy for obesity code G0447, pediatric clinical assessment codes 96110 and 96127, and pediatric health risk assessment codes 96160 and 96161.
Module 12: Guidance for Teachers, Residents, and Students
Teach and code with confidence in both inpatient and outpatient settings. Learn federal guidance for documentation and supervision of care provided with medical students and residents, modifier -GC, primary care exception modifier -GE, and moonlighting regulations.
Module 13: Chronic and Transitional Care Management
Correctly capture revenue for longitudinal team care of complex patients using Remote Physiologic Monitoring codes, Chronic Care Management codes, and Transitional Care Management codes.
Learn the requirements to appropriately bill for point-of-care ultrasound (POCUS) services, review commonly reported CPT codes and modifiers, and identify key strategies to streamline POCUS billing.
Learn the requirements to report the new G2211 add-on code to account for ongoing care related to a patient’s serious or complex condition. Receive payment for services like chronic disease management tracking, review of consultative or diagnostic reports, and medication monitoring.
Access multiple video recordings of ACP billing and coding lectures and webinars, presented by physician coding experts during ACP Internal Medicine Meeting and other special educational events.
