Ep. 275 E&M Coding Part 2 with Dr. Ryan Trojan

Ep. 275 E&M Coding Part 2 with Dr. Ryan Trojan

In this episode, host Dr. Ally Baheti interviews interventional radiologist Dr. Ryan Trojan about recent changes to the AMA’s evaluation and management (E&M) coding in the inpatient and outpatient settings. The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/WXMItA --- CHECK OUT OUR SPONSOR Reflow Medical https://www.reflowmedical.com/ --- SHOW NOTES Dr. Trojan reflects on changes in his practice since his first BackTable interview in March 2021. Onboarding a nurse practitioner made a large difference in being able to bill for follow up visits. Dr. Trojan also notes that some complex procedures require prior consultation, while other simple procedures do not. This categorization depends on the practice structure. Next, we discuss the 2021 changes to outpatient E&M coding, which will also be reflected in 2023 changes to inpatient coding. These changes place more emphasis on time-based billing and allows physicians to bill for telehealth time with patients before / after / during their visit, as opposed to only face-to-face visits. Dr. Trojan relies on time-based billing more than component-based billing, since time spent with the patient reflects the complexities and comorbidities of each patient’s case. His initial appointment codes typically fall in the level 4 or 5 categories, which indicate moderate or high complexity. Follow up codes usually qualify as level 3, which indicates low complexity. Finally, Dr. Trojan responds to questions from the audience about understanding global periods, billing for diagnostic and interventional service within the same practice, and billing for consults. Overall, he emphasizes the importance of documenting patient encounters and coding to capture revenue and recognize IR contributions to patient care. --- RESOURCES Episode 116- E&M Coding 101: https://www.backtable.com/shows/vi/podcasts/116/evaluation-management-em-coding-101 AMA 2022 E&M Guidelines: https://www.ama-assn.org/practice-management/cpt/cpt-evaluation-and-management Email: ryan.trojan@integrisok.com

Episoder(616)

Ep. 40 Treating the Difficult IV Access (DiVA) patient with Dr. Chick and Dr. Jagannathan

Ep. 40 Treating the Difficult IV Access (DiVA) patient with Dr. Chick and Dr. Jagannathan

Dr. Arun Jagannathan and Dr. Jeffrey Chick discuss their approach to the Difficult IV access (DiVA) patient. Special thanks to sponsor Access Vascular Inc. for lending their booth at #SIR19ATX.

26 Mar 201917min

Ep. 39 Better Biopsies With Dr. Thor Johnson

Ep. 39 Better Biopsies With Dr. Thor Johnson

Dr. Thor Johnson discusses his experience with the Argon BioPince biopsy needle for liver, renal and soft tissue biopsies, including tips and tricks for obtaining better biopsy samples with fewer passes. Recorded at SIR 2019 in ATX.

25 Mar 201912min

Ep. 38 Special guest Physician on Fire (POF) talks financial independence for physicians

Ep. 38 Special guest Physician on Fire (POF) talks financial independence for physicians

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/GfYFHp Physician on FIRE (PoF) founder Dr. Leif Dahleen discusses financial independence for physicians. Leif created his platform to inform and inspire physicians with insightful writing after he attained financial independence and the freedom to retire early. More information at physicianonfire.com

20 Feb 201951min

Ep. 37 Treating PAD in the OBL with Dr. Mike Watts and Dr. Omar Saleh

Ep. 37 Treating PAD in the OBL with Dr. Mike Watts and Dr. Omar Saleh

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/9HpSIv Special guests Dr. Mike Watts and Dr. Omar Saleh discussing the ins and outs of treating PAD in the Outpatient Based Lab (OBL) setting. Includes great info on practice building, patient safety, and essential equipment. #irad #miips

7 Jan 201957min

Ep. 36 Building the UFE and OBL practice with Dr. Mary Costantino

Ep. 36 Building the UFE and OBL practice with Dr. Mary Costantino

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/HRWoTs Dr. Mary Costantino tells us the story of how she built her OBL practice in Portland and discusses the advantages of performing UFE and other procedures in the outpatient setting.

19 Des 201852min

Ep. 35 OTW Technique for IVC filter placement with Dr. David Mobley

Ep. 35 OTW Technique for IVC filter placement with Dr. David Mobley

Dr. David Mobley of Columbia University VIR describes his over-the-wire technique to prevent tilting in IVC filter placement. Special thanks to our sponsor Argon Medical.

12 Nov 201818min

Ep. 34 Spinal Ablation Therapies with Dr. Peder Horner

Ep. 34 Spinal Ablation Therapies with Dr. Peder Horner

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/t4Ocb0 Our second podcast recorded live from Western Angiographic (WAIS) conference in Maui 2018! Dr. Sabeen Dhand interviews Dr. Peder Horner on how he built a spinal tumor ablation practice in Denver, CO, including tips/tricks on equipment and patient selection.

11 Okt 201824min

Ep. 33 Building a Comprehensive Vein Practice with Dr. Brooke Spencer

Ep. 33 Building a Comprehensive Vein Practice with Dr. Brooke Spencer

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/tNgPeU Dr. Brooke Spencer gets into the pearls and pitfalls of building a comprehensive vein practice, including a detailed discussion on the treatment of May-Thurner and Pelvic Congestion syndrome.

9 Okt 201838min

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