2021 GI Coding Quarterly Webinar Series

2021 E&M Changes with Clinical Examples

• Learn tips for auditing with the new E&M changes including clinical examples
• Identify time documentation issues in the office with clinical examples
• Identify changes in the medical decicion-making (MDM) tables
• Learn tips on supporting the level of services billed

Top Coding Issues Impacting GI Practices in 2021   

This webinar will address the following questions. You will learn updates and tips on these coding items:  

• 2021 E&M Update:  Update on any E&M changes and overview of payer policies
• Telehealth Update:  Update on changes for telehealth after the PHE
• EMR vs Snare and Lift:  Does your endoscopy report have what is needed to support billing an endoscopic mucosal resection?
• Endoscopy Challenges with Modifier 59/XS: Does your documentation support a separate lesion and technique for billing multiple endoscopies? 
• Modifier 25: Is the visit significantly separate from the procedure billed on the same day?
• ICD-10 Tips: EHR pitfalls associated with selecting the most accurate and specific ICD-10 codes

 2022 ICD-10 Updates & HCC/Risk Adjustment for Gastroenterology Practices

• Discuss and identify the new ICD-10 diagnosis codes, code revisions, and chapter specific guidelines effective effect from 10-1-21 through 9-3-22.
• Understand the definition of Risk Adjustment and HCC diagnosis codes
• Learn how your provider’s documentation should support risk adjustment diagnoses

Medical Necessity: The Key to Economic Success

This webinar will address the following questions and provide you clarity and tips on these coding items:

• Endoscopy Reports:  Is there a clear indication?  Are methods documented?  Any contradictions in report?
• Screening vs. Diagnostic Colonoscopy: Documentation tips for the provider when symptoms are present in a patient that is due for screening colonoscopy
• Medical Necessity for Diagnostic Studies and Endoscopy:  Does your documentation support medical necessity for endoscopic treatment, capsule endoscopy and radiologic studies?

• Infusions:  Is there a specific indication?  Were hydration services necessary?
• Diagnostic studies:  What are payers looking for?
• E&M services:  What is needed to support a level 5 new patient service or a level 3 initial inpatient visit?
• ICD-10:  Does your first diagnosis listed on the claim support the medical necessity? This is the most important issue since the payer’s computer either pays or pends the claim based upon that code.

Top Coding Issues Impacting GI Practices in 2021
May 4
Kristin Vaughn, CPC, CPMA, QMGC, QMC, ICDCT-CM
Take a current look into the top coding issues impacting gastroenterology and the tips and solutions for economic survival. Accurate documentation, validation of medical necessity and clean claims are the key to success. This webinar is an excellent resource for physicians/providers, managers, coders, schedulers, preauthorization/utilization review coordinators, and clinical staff members.

2022 ICD-10 Updates & HCC/Risk Adjustment for Gastroenterology Practices
September 28
Kristin Vaughn, CPC, CPMA, QMGC, QMC, ICDCT-CM
Hear an overview of the new  ICD-10 diagnosis codes for GI in effect from 10-1-21 through 9-3-22, discuss the definition of Risk Adjustment and HCC (Hierarchical Condition Category) and how this affects GI practices.

Medical Necessity: The Key to Economic Success
December 7
Kathleen Mueller, RN, CPC, CCS-P, QMGC, QMC, ICD-10 Proficient
This webinar will provide your practice with a current look into medical necessity issues impacting gastroenterology.  With payers requesting documentation prior to payment and post-payment for infusions, multiple endoscopies, diagnostic studies and high level visits, the importance of documenting to specificity is essential for economic survival.   An excellent resource for physicians/providers, managers, coders, schedulers, preauthorization/utilization review coordinators, and clinical staff members.

The American Society for Gastrointestinal Endoscopy (ASGE) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. ASGE designates each webinar in this series for a maximum of 1.0 AMA PRA Category 1 Credits™ for a total of 4.0 AMA PRA Category 1 Credits™. Participants should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Statement

ASGE Assurance to High Level Scientific Evidence and Adherence to Neutrality: ASGE is committed to you, our learners. We are committed to assuring the highest level of scientific rigor, research-based evidence and practicality to clinical use is conveyed throughout this educational activity. Members who designed this educational activity are carefully selected for their content expertise, teaching excellence and neutrality on the topic(s) being presented. ASGE requires all subject matter experts, committee members and staff planners who are in a position to control any aspect of content to disclose all relevant financial relationships with any commercial interests. Financial relationships in any amount is considered a potential conflict of interest, is peer-reviewed and resolved according to ASGE’s Educational Conflict of Interest policy and procedure prior to the start of this program.  

HIPAA Accountability: ASGE makes every effort to not include individually identifiable health information in this educational activity. To protect patient privacy, faculty are requested to de-identify patient related material in accordance with the Health Insurance Portability and Accountability Act (HIPAA).

Educational Attributes: This ASGE educational program addresses the following desirable physician attribute(s) that align with ACGME/ABMS Competencies, Institute of Medicine Competencies and/or Interprofessional Education Collaborative Competencies: a) Medical Knowledge; b) Practice-Based Learning and Improvement; c) Provide Patient-Centered Care; and d) Employ Evidence-Based Practice.

ASGE’s Commitment to Our Learners: ASGE’s continuing medical education program consists of a diversified educational portfolio. Each educational activity serves to maintain, develop, or increase our learner’s knowledge, skill, and professional performance. It is our intention that you will be able to transfer this learning to the provision of services for your patients, the public and the endoscopy profession. Content developed for this educational activity is based upon a body of knowledge and skills generally recognized and accepted by the GI profession and ASGE’s standards of practice, the basic medical sciences, the discipline of clinical medicine, and the provision of health care to the public.

Requests for refunds must be sent in writing at least two weeks before the activity to education@asge.org. Refunds will be subject to an administrative fee of $100. Attendee substitutions are permitted with ASGE authorization. ASGE has the right to cancel a program at any time at its discretion.