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Reimbursement / Documentation / Billing

Objectives

  1. Understand the proper documentation required for Emergency Medicine reimbursement.

  2. Understand the relationship between quality charting/diagnosis and reimbursement from patients and insurance carriers.

  3. Define CPT, ICD-10 and coding procedures.

  4. Understand bad debt, contracted allowances, and charity.

  5. Review and understand ambulatory patient groups.

  6. Understand the process and function of a billing agency.

  7. Understand the role of billing in capitated and managed care systems.

  8. Understand MIPS and its future implications for physicians.

Assignments:

a. Documentation Training Programs:           

b. Future of Medicine and Implications of payment Reform:   

- What is P4P? 

-Lecture on Defining Value in Emergency Medicine 

- ACEP Clinical Emergency Data Register (CEDR)

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