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: