Course Category: COSEHQ2021

COSEHQ.10: The Two Midnight Rule and Medical Necessity in the Hospital Setting

The Two Midnight Rule and Medical Necessity in the Hospital Setting Define the “Two Midnight Rule” clinically Understand the CMS changes associated with the “Inpatient Only List” and how clinical documentation can support the appropriate status of patients State documentation pearls associated with cardio-pulmonary conditions to support medical necessity of a hospital stay and appeal …

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COSEHQ.09: The 2021 Basic Evaluation and Management Guidelines for the Hospital Setting

The 2021 Basic Evaluation and Management Guidelines for the Hospital Setting State differences in the 2021 Evaluation and Management Guidelines in the office and the hospital facility Know the concepts that make up the History, Exam, and Medical Decision Making Key Component of the Guidelines State ways to practically apply the three Key Components in …

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COSEHQ.07: Documentation and Coding of Dermatology Procedures in Primary Care

Documentation and Coding of Dermatology Procedures in Primary Care Outline documentation strategies to support dermatology procedures Know how to document and bill for biopsy procedures based on latest guidelines Describe how to document and bill for multiple procedures as well as procedures done in the context of a problem-based encounter

COSEHQ.06: Care Management: Patient Engagement and Quality Gap Closure

Care Management:  Patient Engagement and Quality Gap Closure Outline reasons for care management service delivery in primary care and understand how to use add-on codes for visit complexity offered in 2021 Know how to document and bill correctly for home health certification, recertification, and care plan oversight Know how to perform, document, and bill for …

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COSEHQ.05: Understanding the Preventive Services in Medicare

Understanding the Preventive Services in Medicare Define how to find the central source of updated information on Medicare Preventive Services, codes, co-insurance, and coverage intervals Describe the covered services offered through Medicare in cancer prevention Discuss the preventive services offered through Medicare related to diabetes and diabetes prevention Outline the Intensive Behavioral Therapy services offered …

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COSEHQ.04: Performing the Medicare Wellness Visits in Primary Care

Performing the Medicare Wellness Visits in Primary Care Define the three types of Medicare Wellness Visits Know how to correctly perform, document, and bill for each of these services Understand how to correctly apply chronic disease care delivery in the context of the Medicare Wellness Visit with the addition of the -25 modifier

COSEHQ.03: Transition Care Management: Hospital to Home, Home to Office, and Office to Home Primary Care

Transition Care Management:  Hospital to Home, Home to Office, and Office to Home Primary Care State the importance of care coordination and understand how to transition patients from hospital to home, from home to office, and then office to home Differentiate between the two Transition Care Management codes (99495 and 99496) for 2021 and how …

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COSEHQ.01: The Basic Evaluation and Management Guidelines for the Office Setting: 2021 Update

The Basic Evaluation and Management Guidelines for the Office Setting: 2021 Update  Know the definitions of the types of conditions that we use in our evaluation and management services as well as how to determine whether a patient is new or established in a practice Be able to correctly apply time-based coding in the ambulatory …

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