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Medical Billing Compliance Training
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TOC
Medical Billing Compliance Training
About the course
Copyright Notice and Disclaimer
Introduction
Who is Affected?
Where do the rules apply?
Rules and Guidelines
Medicare Part B payment conditions
Documentation Instructions and Common Scenarios
Medicare Part B physician responsibilities
Teaching physicians are not required to see every Medicare patient
Definition of key portion of service
General Documentation Guidelines
E&M Service documentation provided by Students
Billing modifiers for residents
Importance of diagnosis coding for ancillary and other services
Evaluation and Management Services
E&M Key Elements Defined
2021 Outpatient New and Established E&M Codes (CPT 99202-99215)
Initial inpatient care, Observation, ER visits and consults all have the same documentation requirements.
TP with Resident
Subsequent hospital care
Time-based codes
Primary Care Exception
Specialty-Specific Guidelines
Anesthesiology
High risk procedures
Obstetrics and Gynecology
Psychiatry
Radiology, Pathology, Lab Medicine
Renal
Surgery (Including endoscopic operations)
About the CMS Compliance self-assessment quiz
Select your speciality and Quiz