Sarah Ross, DO, MS | Angela Miller, CHC, CMC, CDC, CDBS – Diagnosing Dementia and Using the Medicare Dementia Care Planning Code & Incident to Causing an Incident

Course Description

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Diagnosing Dementia and Using the Medicare Dementia Care Planning Code

Sarah Ross, DO; UNT Health Science Center, Center for Geriatrics

Medicare now provides reimbursement for services aimed at improving detection, diagnosis, and care planning and coordination for patients with Alzheimer’s disease and related dementia, and their caregivers. The CPT code 99483 provides reimbursement to physicians for a comprehensive clinical visit that results in a written care plan. In this session, we will discuss the common types of dementia, tests and tools used for diagnosis; and we will define the CPT Code 99483 and what elements and documentation are needed to bill that code.

Objectives:

1. List the common types of dementia and discuss work up and assessment tools
2. Describe the elements of a dementia care plan
3. Define the CPT Code 99483 and use it in your practice

Incident to Causing an Incident?

Angela Miller, CHC, CMC, CDC, CDBS; Medical Auditing Solutions, LLC

Incident to continues to be an ongoing hot button for payers in claims reviews. Likewise, practices in many cases fall short of auditing and preventing claims from being billed incorrectly whether due to staff turnover or no process for billing to know by the superbill or claims whether the provider was in the office. We will review the importance of tracking and monitoring the process internally as mistakes can happen. These mistakes many times are not deliberate but are costly. Leave with a clear understanding of the incident to requirements and ideas to implement monitoring in your organization to prevent overpayments and penalty assessments later.

Objectives:

1. Review the requirements to bill midlevel providers under the physician
2. Review some processes to be implemented to ensure compliance
3. Review potential problems when billing incident to incorrectly

Dr. Ross is employed at the University of North Texas Health Science Center and is an Assistant Profession in the Center for Geriatrics. She graduated from the University of North Texas Health Science Center, Texas College of Osteopathic Medicine in 2007. Dr. Ross continued her training at John Peter Smith Hospital in Family Medicine and Geriatrics and is board certified in both.   She sees patients in long-term care settings, ambulatory care, and house calls. Dr. Ross has lectured on a variety of gerontological issues and is interested in Alzheimer’s Disease, advance care planning, transitions of care, and fall prevention.

Angela Miller, CHC, CMC, CDC, CDBSRelated seminars and products: 1

Medical Auditing Solutions

Angela Miller of Medical Auditing Solutions (MAS) has 12 years of compliance, billing, collections experience prior to starting Medical Auditing Solutions. Celebrating over 10 years in business! She has had MAS for over 10 years offering vast compliance solutions and coding audit services to healthcare practices from start up to multimillion dollars in revenue for physicians, dental, home health, sleep lab, pharmacy, DME working with all levels of management and business owners as an extended part of the operations team to ensure efficient operations and cash flow collections of Medicare, Medicaid and Commercial Payer Claims.   Ms. Miller hold a Bachelors in Business Administration from Campbell University and is Certified in Healthcare Compliance (CHC) and Certified Medical Coder (CMC) as well