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TRAINING OPPORTUNITY
Evaluation and Management:
Physician Documentation Determines Medicare Payment
Thursday, October 24 from 1:00 - 5:00pm Eastern
Medical Academic Center | Carmel, IN
Both live and virtual registration options are available!
Program Overview
Agenda
Speaker
Location
Registration
Medicare’s job is to pay appropriately for the service you provide to your Medicare patients. Come hear your Medicare Administrative Contractor (MAC) discuss the Medicare rules for your Evaluation and Management (E/M) services. E/M service comprise about 40% of the total payments under the Medicare Part B Physician Fee Schedule.
This presentation will go over the Medicare rules for how your documentation affects the level of service submitted to Medicare. Medicare has two other services that may be appropriate for your practice. These are the add-on complexity code and the social determinants of health assessment. These services may be appropriate for your practice. Your MAC will provide you the Medicare rules, so you know when payment for these services is appropriate for your practice.
Your MAC will provide you with the latest information on telehealth services and appropriate billing. The Medicare Physician Fee Schedule proposed rule for 2025 addresses some possible changes for 2025.
Your MAC will also provide information you need to bill when your staff perform services for your patients. This will include the incident to guidelines. We will also discuss chronic care management and how you can utilize your staff to provide services to your patients. Your MAC will discuss the transitional care management services for your patients leaving a facility. You will learn what services you need to provide and document and what your staff can perform.
Your MAC will also respond to your questions.
Program Objective
Help the physician community understand the importance of necessary documentation to assist your coders and billers in submitting correct claims to Medicare.
Agenda
- The CPT requirements for the levels of service
- Documentation for Time or Medical Decision-Making
- Incident to billing
- Correct submission of the add-on complexity G2211
- Appropriate billing of the Social Determinants of Health Assessment G0136
- Inpatient and nursing facility services
- Transitional Care Management
- Chronic Care Management
- Health Equity services that began in 2024
- Documentation for modifiers
- Medicare telehealth information
Speaker
Ellen Berra, CPC
Ellen is Certified Professional Coder (CPC) through the AAPC. Her Medicare experience began in 1981. She began working with Medicare in 1984, joining POE in 1996. Ellen’s Medicare experience includes:
- Front desk staff for an outpatient clinic providing radiology and clinical lab
- Claims
- Appeals including first level hearings
- Customer Service
- Congressional Inquiries
- Provider Outreach & Education
Fun Fact – Ellen loves to read. Her house has books stacked everywhere in addition to over 9 bookcases completely full. She is also going to need to replace her Kindle soon as it too is getting full.
Location
 
Medical Academic Center (inside Indiana Spine Group's building)
13225 N Meridian St, Carmel, IN 46032 (Google map)
The Medical Academic Center features free parking and an auditorium. For those who choose to watch the live stream from their home or office, we will use Zoom and you will have the ability to ask questions verbally and in the chat.
Registration
- IAFP members: $200 per physician member (includes up to 3 office staff members - extra $50 per staff member above the included three).
- Non-IAFP members: $400 per physician (included up to 3 office staff members - extra $100 per staff member above the included three).
- The rate is the same for both in-person and virtual registrants.
- Drinks and snacks will be available for in-person attendees.
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