Presenters: David M. Kanter, MD, CPC, FAAP (Part 1)
Julia M. Pillsbury, DO, FAAP (Part 2)
Dates: May 26, 2016 (Part 1)
June 7, 2016 (Part 2)
Time: 12:00 pm Central/1:00 pm Eastern/11:00 am Mountain/10:00 am Pacific
Duration: 60 minutes each
In recent years, the Current Procedural Terminology (CPT®) Editorial Panel and the Centers for Medicare & Medicaid Services have recognized the amount of time, effort, and expense that primary care and other specialty providers and their staff are spending on coordinating care in the outpatient setting for patients to improve health outcomes and reduce the likelihood of emergency department encounters, hospital admissions, and readmissions. This, in turn, equals cost savings for the payers. As a result, more codes are being created with very intricate guidelines and increased criteria. Without proper knowledge of these services and how to implement them in your practice, you could be losing out on recouping expenses for these services. With the support of the Lucile Packard Foundation for Children’s Health, the American Academy of Pediatrics (AAP) will be hosting two 60-minute free webinars to address coding for these non–face-to-face services.
- Review the intricate changes to chronic care management services (formerly known as complex chronic care coordination).
- Review transition care management service codes.
- Review other non–face-to-face services, including telephone care and care plan oversight.
- Compare reporting transition or chronic care management versus other existing care management codes (eg, care plan oversight).
- Provide clinical examples and vignettes of chronic and transition care management services.
- Provide clinical examples and vignettes of other non face-to-face services (eg, care plan oversight).
- Provide examples of proper documentation for chronic care management and other non–face-to-face services.
About the Presenters
David M. Kanter, MD, CPC, FAAP
Dr Kanter is a Fellow of the AAP. He is a neonatologist who has provided medical directorship of a large neonatology practice in West Palm Beach, FL, for which he continues to provide clinical support. For the past several years, he has served as vice president of medical coding for Pediatrix Medical Group, a national group focused on multiple collaborative service lines, including neonatology; pediatric hospitalist; developmental, emergency, and intensive care; pediatric surgery; maternal-fetal medicine; and pediatric cardiology. Dr Kanter is board certified in pediatrics and neonatal-perinatal medicine, holds an MBA from the University of Florida, and is a certified professional coder. Dr Kanter is a member of the AAP Section on Neonatal Perinatal Medicine Coding Committee and is an active member of the AAP coding publications Editorial Board, for which he regularly reviews and comments on coding materials. Dr Kanter has most recently been appointed as the AAP alternate CPT advisor.
Julia M. Pillsbury, DO, FAAP
Dr Pillsbury is a Fellow of the AAP and a primary care pediatrician in Dover, DE. She is a graduate of the Philadelphia College of Osteopathic Medicine and did her residency and internship in pediatrics at Fitzsimons Army Medical Center. She is the founder and president of the Center for Pediatric & Adolescent Medicine, a single-specialty group pediatric practice. Dr Pillsbury is also the medical director for Nurses ‘n Kids, which is a pediatric prescribed extended care facility providing care to children with special health care needs. Dr Pillsbury is the International Classification of Diseases, 10th Revision, champion for her local hospital. She is a current member of the AAP Committee on Coding and Nomenclature and past CPT Editorial Panel and Practice Expense Advisory Committee member as part of the American Medical Association/Specialty Society Relative Value Scale Update Committee. She is a member of the AAP Section on Administration and Practice Management and Council on Children With Disabilities.