Medical Billing and Coding – Henry Rosevear

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Medical Billing and Coding

Understanding the E&M system and its Modifiers

Medical Billing and Coding is not simple. The system is not straightforward and it is not the system that I would have created were I given the chance; but it is the system we have. The purpose of this course is two fold. First I will explain how the billing and coding system works with the goal that on completion everyone can legally and ethically maximize their E&M billing. Second, we will review modifiers and how they can be used to ensure proper billing.

Every year CMS published proposed and then final changes to the billing and coding system and every year I publish updates to the lecture to include these changes. Some of the proposals are truly radical and if fully implemented would change not only how you bill and code, but also how you practice medicine.

The course also includes a series of lectures by James Dahle, otherwise known as The White Coat Investor, talking about how best to document and code as an emergency room physician.

Lastly, I have also included a version of a lecture I gave on how private equity is starting to enter into the world of medicine as while not directly related to billing and coding, it will affect how we practice medicine.

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Course Curriculum

Basics of Billing and Coding

• Summary Sheet (Download PDF for reference while watching videos)
• Requirements of the physical exam and the review of systems (12:39)
• The HPI and problem-based billing (11:23)
• In-patient coding and billing by time (9:25)
• Real world examples (7:38)

E&M Modifiers

• The concept of bundling and modifiers to unbundle (10:57)
• The global period and how to get out of it (Part 1) (11:42)
• The global period and how to get out of it (Part 2) (10:21)
• Less commonly used modifiers (7:28)

Emergency Department Documentation by The White Coat Investor

• Documenting Your Way to Financial Independence (6:26)
• Documenting ED Evaluation and Management Codes (25:31)
• Documenting ED Procedure Codes (9:22)

Update on 2019 CMS Proposed Changes

• Summary of the 2019 CMS Proposed Changes (8:53)

Private Equity and Urology

• Private Equity One
• Private Equity Two
• Private Equity Three

The Opioid Crisis

• Opioid Prescribing

2019 CMS Final Rule Changes

• Summary of Changes for 2019

2020 Proposed CMS changes

• Summary of Proposals for 2020

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