The eLearning Center for Gatlin Education Services

With all of the changes, HIPAA rules and regulations, and the constant possibility of audits; the physician just can't take a chance of not knowing what is needed to be compliant in the coding and billing of services. This course is designed to help determine what is needed for effective and efficient documentation, when to use modifiers, and how to not "unbundle" services.

The key to a good practice is having a compliance plan in place. Physicians will learn about the resources needed to create a successful compliance program and about the key elements needed to do so. They will also learn about the Office of Inspector General (OIG) Work Plan for 2004. This gives you a heads up on the services that could be targeted in the New Year's audits so you can be prepared.

Evaluation and Management documentation can be a doctor's worst nightmare, but this course gives detailed specifics needed when documenting multiple or single-organ-system examinations. The specialties examinations covered are listed below.
- Cardiovascular
- Otolaryngology
- Ophthalmology
- Genitourinary
- Hematologic/Lymphatic/Immunologic
- Musculoskeletal
- Neurological
- Psychiatric
- Respiratory
- Integumentary

For those of you who work at a teaching hospital, teaching physician guidelines, including recent changes, will be covered.

As you can see, this course is a valuable asset in preparing yourself and your staff.

Upon registering, you are given an initial six months to complete the program. Should you need more time, you may request a 6-month extension at no additional charge.

Course Objectives

At the end of the course, students who are physicians will be able to document compliantly and efficiently. Students who are physician educators, office managers, consultants, etc., will be able evaluate documentation for compliance and will be able to teach physicians how to document, allowing more time to focus on patient care. They also will be able to recognize and/or provide correct documentation, allowing maximum reimbursement for the services performed.

  · Coding

  · Medical Necessity
  · Bundling
  · Modifiers

  · Compliance

  · Office of Inspector General (OIG) Compliance Plan for Physician's Offices
  · Fraud and Abuse
  · Services Frequently Targeted by Audits
  · OIG Work Plan for 2003

  · Documentation

  · Why documentation is so important
  · Documentation of Procedure Notes
  · 1995/1997 Evaluation and Management (E&M) Documentation Guidelines (DG)

  · Key Components

  · History
  · Physical Exam

  · General Multi-System
  · Cardiovascular
  · Otolaryngology
  · Ophthalmology
  · Genitourinary
  · Hematologic/Lymphatic/Immunologic
  · Musculoskeletal
  · Neurological
  · Psychiatric
  · Respiratory
  · Integumentary

  · Medical Decision Making

  · Other Components

  · Counseling
  · Coordination of Care
  · Nature of Presenting Problem
  · Time

  · "Incident To" Services

  · Teaching Physician Guidelines

  · Reimbursement

  · Physician Fee Schedule

  · Surgical Package
  · Fee for Service