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House Call Coding 101 for Providers

Originally presented on February 16, 2016

Sponsored by Health Dimensions Group


Shawna L. Ramey, CPC CPMA, postacute medicine consultant, Health Dimensions Group

Ms. Ramey has more than 20 years of primary care and geriatrics practice management experience, including as a practice manager for a diverse geriatrics medical practice of more than 20 medical providers at Summa Health System. She also has clinical experience in house call programs, palliative medicine, behavioral health, and skilled nursing facility practices. As a certified coder and auditor, Ms. Ramey provides chart coding audits and compliance reviews across healthcare settings as well as provider and staff education on coding documentation requirements and new code and payment opportunities. Her expertise also includes operational and revenue cycle assessments in venues such as geriatric assessment clinics, house call programs, and programs of all-inclusive care for elders.

Beth Carlson, EdD RN NHA, director, Consulting Services, Health Dimensions Group

Ms. Carlson advises acute and postacute organizations on strategic design and execution of integrated care delivery and value-based payment models, including bundled payment, preferred network development, care coordination, and community medicine, linking patient-focused care with emerging reimbursement and risk-bearing opportunities with a focus on care transformation. Dr. Carlson brings more than 30 years of healthcare experience throughout the care continuum, including development and administration of postacute services and communities such as continuing care campuses, skilled nursing facilities, home- and community-based services, and housing for seniors.

Gary Swartz, JD MPA, associate executive director, American Academy of Home Care Medicine

Mr. Swartz has more than 30 years of experience in medical practice management and health systems management, consulting and recruitment. His background includes work in health policy and advocacy and audit and compliance for health systems. In his role with AAHCM, he provides practice management and regulatory advice to medical practices and organizations across the country. Mr. Swartz also provides public policy service for the Academy and leads a best practices and evidence gathering learning collaborative for practices participating in Independence at Home, a Medicare shared savings demonstration.

Webinar Overview

The Health and Human Services Office of Inspector General 2016 work plan has identified physician home visits as an important area of focus. Now more than ever it is critical to ensure coding compliance. House call programs are relatively new and come with a unique set of coding and billing issues. Whether you are a coding novice or expert, this webinar will provide an understanding of the necessary documentation elements while giving tips on how to document quickly and efficiently. The goal is to provide the understanding necessary to clearly show the medical necessity of visits and reduce the documentation hassle.

Highlights include

  • Medical Necessity
  • Assessment and Plan
  • Billing on Time

Watch the recorded webinar

Download the webinar slides

Download a document of audience questions with speaker answers