Special Section:

What your Providers need to know about the dramatic EM changes coming in 2021.

Gastroenterology Hot Topics

■ The latest 2019-2020 Gastroenterology ICD-10 and CPT updates will be covered.

■ Are your providers prepared for the sweeping 2021 EM changes? Use this year wisely to prepare!

■ Painting an accurate picture of the patient's condition and co-morbidities is essential for quality, value and outcomes reporting necessary for MACRA.

■ Cloned EHR records remain on the OIGs target list. Strategies to reduce "bloated" unnecessary documentation.

■ Upper GI endoscopies now under review for medical necessity. Will your claims pass the scrutiny?

■ American Cancer Society has revised Screening Colonoscopy criteria. How is that impacting your GI practices?

■ Increased MAC anesthesia denials! Do your claims demonstrate co-morbidities to support medical necessity?

■ Pathology documentation requirementsfor Special Stains. Services are highly targeted!

■ Snare / saline lift vs EMR vs EMD. Discuss differences and documentation requirements.

■ ERCP billing for stents, stones, sphincterotomies...

■ Improved documentation required for Medical Decision Making.

■ Minimize your Audit Risk with good clinical documentation of medical necessity.

■ Records that are not properly signed and dated are considered services billed but not performed.

atest ICD-10-CM Updates

■ Code complex patient conditions/co-morbidity to support EM levels and MAC anesthesia.

■ Importance of reporting adverse effects, poisoning, toxic effects and underdosing.

Procedure and Other Services

■ The latest Date of Service policies for Medicare

and Commercial plans.

■ Is your documentation sufficient to bill enteroscopy?

■ Separate lesions and anatomical sites are key to maximizing

reimbursement for endoscopies.

PRESENTER

Arlene Morrow

About your seminar leader:

Arlene Morrow,CPC,CMM hasserved the healthcare industry for over 40 years with experience as aBusiness Office

manager, Practice Administrator and Consultant. She is owner of AM Associates based in Tampa, FL, a consulting

firm that specializes in conducting individualized coding and reimbursement training programs for hundreds of

physician practices, medical groups and clinics nationwide. As a McVey Seminar leader for 20 years , she is a nationally recognized speaker and author of many multi-specialty coding and reimbursement workbooks. Ms. Morrow

is committed to assisting specialty practices in knowing their defendable positions in accurate and complete coding.