Are You Confident in Your Coding Levels? Documenting and Billing for Clinical Encounters

Figuring out how to get reimbursed appropriately for the services you provide to patients can feel as challenging as caring for your most complex patients. The financial pressures affecting physician practices are increasing and reimbursement levels aren’t keeping up. Insurers are adding administrative hurdles like prior authorization and imposing payment policies such as automated downcoding that make it even more difficult for practices to get paid for the level of services they deliver.

The claims submission process requires physicians and their administrative team to know what specific CPT® codes to use to describe a patient encounter and how to document details of the encounter in a way that supports the type and level of services billed. Choosing the proper code and documenting the proper information can be complicated, and errors can cost your practice money as a result of insurance company denials or, conversely, missed opportunities to bill for documented services.

The Illinois State Medical Society invites you to join Ana (Trajchevska) Kostovski, CPC, CPB, CPCD, from TaskForce, an ISMS Benefit Partner, for a review of proper documentation and coding practices and a discussion of current trends in physician billing and reimbursement. Ana’s presentation will include:

• An overview of how to select and document the proper E&M code level
• A review of the AMA CPT® E&M medical decision making (MDM) guidelines and how they relate to level of service provided
• How medical record documentation informs and supports CPT® selection and claim preparation
• Common billing and documentation errors to avoid

TaskForce has been an ISMS benefit partner since 2023, and provides clients with dedicated, remote teams of professionals to improve the administrative flow of physician practices by providing services such as coding, billing, scheduling, registration and referrals. TaskForce offers customized services based on the needs of individual practices and focuses integrating its services smoothly with the on-site practice team.

Please note that CME credits will not be offered for this program.