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Coding Fundamentals for MFMs

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One of the SMFM’s missions is career and practice support, and a large component of this is proper billing and coding practices. Coding is often an overlooked arena during fellowship training, as the focus is on research and clinical care. However, once physicians complete fellowship and start practice, they realize that coding and billing drive practice and organizational sustainability.  Practices cannot provide high-risk care without optimizing their payments and reimbursements. Given that there is no formal training in fellowship regarding practice management, this course serves as an introduction to basic coding concepts. It’s an ideal course for new MFM attendings or for those who want a refresher course on coding basics.

Course Co-Directors: Fadi A. Bsat, MD, and Vanita D. Jain, MD  Course Faculty: Steve Rad, MD, FACOG; Brad Hart, MBS, MS, CPME, CPC, CPMA, COBGC; Arij Faksh, DO; Elizabeth Westen, MD; and Matt Zuber, MD

Continuing Medical Education (CME) credit is provided for this course through Global Learning Collaborative (GLC).

Accreditation and Credit Designation Statements

In support of improving patient care, Global Learning Collaborative (GLC) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Global Learning Collaborative (GLC) designates this enduring activity for a maximum of 3.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Global Learning Collaborative (GLC) designates this activity for 3.5 nursing contact hours. Nurses should claim only the credit commensurate with the extent of their participation in the activity.

Continuing Education Units (CEU) This program meets AAPC guidelines for 3.5 CEUs. Can be split between Core A and all specialties except CIRCC after successful completion of post-test for continuing education units.

Disclosure of Relevant Financial Relationships

In accordance with the ACCME Standards for Integrity and Independence, Global Learning Collaborative (GLC) requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any ineligible company. GLC mitigates all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs. 

Planners

Vanita Jain, MD, Delaware Center for Maternal & Fetal Medicine, Christiana, DE: No disclosures to report.

Fadi Bsat, MD, Baystate Health, Springfield, MA: No disclosures to report.

Molly Rothschild: No disclosures to report.

Donna Tyler: No disclosures to report.

Mara Siegel: No disclosures to report.

Barry Fiedel: No disclosures to report.

Faculty

Steve Rad, MD, Cedars-Sinai Medical Center, Los Angeles, CA: No disclosures to report.

Elizabeth Westen Fontaine, MD, University of Rochester Medical Center University of Rochester Medical Center, Rochester, NY: No disclosures to report.

Brad Hart, MBA, MS, CMPE, CPC, CPMA, COBGC, Reproductive Medicine Administrative Consulting, Inc., Charlotte, NC: No disclosures to report.

Arij Faksh, DO, Scripps Health, San Diego, CA: Research - Abbvie Myovant Sciences.

Matthew Zuber, MD, Wake Forest Baptist Health, Winston-Salem, NC: Consulting Fees - EBSCO Dynamed.

Release Date: 1/1/2023

Expiration Date: 12/31/2024

The Society for Maternal-Fetal Medicine has not received  commercial support for this educational activity.

Target audience: New MFM attendings or for those who want a refresher course on coding basics

Objectives:

Upon completion of this activity, participants should be able to:

  • Explain the how, what and why of medical coding concepts  
  • Differentiate ultrasound codes based on approach versus trimester 
  • Identify the most common modifiers to append to E/M coding to improve reimbursement 
  • Explain and be able to select codes based on time versus components or medical decision making 
  • Understand the differences in coding that apply to teaching faculty.
  • Choose the correct code for ultrasound-based procedures
  • Distinguish between Medical Decision Making components: diagnosis, data and risk

Key:

Complete
Failed
Available
Locked
Module 0 - Fundamentals of Coding for MFMs: Introduction
Begin self-paced component package.
Begin self-paced component package. This module introduces you to the creators of the course and provides CME and CEU information.
You must register to access.
Module 1 - Introduction to Coding for Maternal-Fetal Medicine Subspecialists
Begin self-paced component package.
Begin self-paced component package. This module introduces you to the fundamentals of the coding course. It reviews the purpose and importance of coding for maternal-fetal medicine subspecialists as well as the most common types of medical codes required for and unique to MFM practice. It is narrated by Coding Committee Vice Chair Dr. Steve Rad.
You must register to access.
Module 2 - Coding and Ultrasound
Begin self-paced component package.
Begin self-paced component package. This module covers the subject of ultrasound coding and the importance of proper reporting and documentation within MFM practices. It is narrated by Coding Committee member and frequent lecturer Brad Hart.
You must register to access.
Module 3 - Modifiers in MFM
Begin self-paced component package.
Begin self-paced component package. This module covers the subject of modifiers that are appended to specific CPT codes. Understanding modifiers is necessary and important as it provides additional specificity to the payer regarding the work done on the day of service. It is narrated by Coding Committee past Chair and Course Co-Director Dr. Fadi A. Bsat.
You must register to access.
Module 4 - Inpatient and Outpatient Encounter Codes
Begin self-paced component package.
Begin self-paced component package. This module reviews the complicated topic of inpatient and outpatient encounter codes for MFM, including the 2021 E&M updates. It is narrated by Coding Committee member Dr. Arij Faksh.
You must register to access.
Module 5 - Coding in the Academic Setting: Trainee Documentation and Supervision
Begin self-paced component package.
Begin self-paced component package. This module discusses inpatient and outpatient coding within an academic setting, which often includes the unique requirement of trainee documentation and supervision. It is narrated by Dr. Elizabeth Westen, who was previously a fellow member of the Coding Committee.
You must register to access.
Module 6 - Coding MFM Procedures
Begin self-paced component package.
Begin self-paced component package. This module evaluates coding for MFM procedures: the history of procedure-based codes, the importance of correct codes for varying procedures, and the common coding patterns when performing ultrasounds and procedures together. It is narrated by Coding Committee Chair and course co-director Dr. Vanita Jain.
You must register to access.
Module 7 - Outpatient Coding
Begin self-paced component package.
Begin self-paced component package. This Module will serve as additional practice for applying the 2021 Evaluation and Management guidelines. This module is narrated by Dr. Matthew Zuber.
You must register to access.
Satisfaction Survey
2 Questions
2 Questions Please provide feedback on your experience.
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CEU Certificate
Up to 3.50 medical credits available  |  Certificate available
Up to 3.50 medical credits available  |  Certificate available ACCME Accreditation This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through The Global Learning Collaborative (GLC). GLC is accredited by the ACCME to provide continuing medical education for physicians. AMA PRA Category 1 Credit(s)™ The Global Learning Collaborative designates this live activity for a maximum of 3.5 AMA PRA Category 1 Credits.™ Physicians should claim only the credit commensurate with the extent of their participation in the activity. CEU Credit(s) This program has the prior approval of AAPC for continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. This program meets AAPC guidelines for 3.5 CEUs. Can be split between Core A and all specialties except CIRCC after successful completion of post-test for continuing education units.
You must register to access.
CME Certificate
3.50 AMA PRA Category 1 Credits credits  |  Certificate available
3.50 AMA PRA Category 1 Credits credits  |  Certificate available
You must register to access.