Coding Consult Live Module Descriptions and Objectives

Module 1 - What you need to know for the New Year!

  • Course Level:  Intermediate
  • Duration:   1.5 hours
  • Course Description:  This comprehensive course will review the changes affecting reimbursement in 2023. The topics include new, deleted, and revised CPT codes, changes to reimbursement rates, coverage changes, and new technology. This course will also review changes to MIPS and government oversight.
  • Educational Objectives: Course attendees should be able to:
    • Summarize the key changes to the 2023 physician fee schedule
    • List the new CPT codes
    • Identify the areas of potential government scrutiny

Module 2 - Diagnostic Testing Made Easy!

  • Course Level:  Intermediate
  • Duration:   30 minutes
  • Course Description:  The average practice performs a significant volume of diagnostic testing. This course will review coverage and documentation requirements. The discussion will include appropriate testing orders and interpretation standards. Attendees will audit examples of test interpretations. The course will review coverage guidance for common tests such as OCTs, fundus photography, and visual fields.
  • Educational Objectives: Course attendees should be able to:
    • List common coverage criteria for tests
    • Identify appropriate test interpretations

Module 3 - Eliminating Confusion when Coding Office Visits!

  • Course Level:  Intermediate
  • Duration:   1.00 hours
  • Course Description: Eyecare providers have the good fortune to use both the Evaluation and Management (E/M) and Ophthalmology Codes (Eye Codes) when coding for office visits. In 2021, the American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS) significantly revised the guidelines for selecting outpatient E/M codes. In this course, we look at the major revisions, primarily focusing on the nuances associated with Medical Decision Making (MDM). We will walk through how the revisions apply to a typical eyecare practice. Comparisons between eye and E/M codes will also be made. The participants will be given several case studies and asked to code them using the E/M guidelines and the Eye codes.
  • Educational Objectives: Course attendees should be able to:
    • List the two methods used for E/M code selection
    • Code an office visit using Medical Decision-Making criteria
    • Explain the advantages of using both E/M and eye codes

Module 4 - Title:  Surgeries, Modifiers, and More!

  • Course Level:  Intermediate
  • Duration:   1.5 hours
  • Course Description: This course reviews the challenges associated with surgical coding. Major and minor surgery coding is a moving target each year, with codes being combined, bundled, and CPT descriptor changes. Common modifiers will be explored, including 24, 25, 57, 58, 78, and 79 that impact payment and global periods. The attendees will review and audit multiple scenarios of proper modifier use. Appropriate surgical documentation will also be discussed, including medical necessity for common surgical procedures.
  • Educational Objectives: Course attendees should be able to:
    • List common modifiers used in the eyecare practice
    • Differentiate modifiers 58, 78, and 79
    • List common coverage criteria for cataract surgery
The workshop will wrap up with an interactive review of the key areas presented in the workshop.  Additionally, applications for four hours of Continuing Education are pending with two accrediting organizations.


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