AMDCP Credit Designation: This session has been approved for a total of 3 Management credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).
The American Medical Directors Association designates this educational activity fora maximum of 3 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Presenter(s): Alva S. Baker, MD, CMD;Leonard Gelman, MD, CMD Disclosure(s): Allpresenters reported they had no relevant financial relationships to disclose. Session Description: This session provides a review of the most recent CPT changesrelevant to nursing home services and discusses lessons learned in theiruse. Procedural codes, codes withmodifiers, coding for care by nurse practitioners, and day-of-death codes arediscussed in-depth. Instruction includescase-studies and vignettes as examples and participants are led through aprocess of determining codes based on modifiers and procedures. Learning Objectives:
Use the Medicare Carriers Manual as a reference source for definingpayment parameters
Explain the concept of medical necessity as it relates to reimbursement
Delineate and apply evaluation and management codes for long termcare for physicians and other providers
MD, HMDC, CMDR,
Chief Medical Officer,
Hospice of Washington County