Texas Health Physicians Group has engaged MediSync to implement its Evaluation & Management CodeRight training program to empower providers with confidence when coding the services they provide in a clinical setting. Implementation of the program began with pilot providers in February; the current round of training will continue through the first quarter of 2013.
The training is intended for THPG providers who have been identified as either having never received coding and documentation audits, or having been identified through audits as having an opportunity for improvement. This training methodology aims to result in improved medical record documentation that is more likely to withstand audit scrutiny. The training also raises awareness of the complexity of the services provided, with resultant shifts in levels of service reported for reimbursement.
Additional training with this methodology will be available throughout 2013 based on need and other factors. Opportunities also exist for practice managers to attend the training sessions to support their providers.
The training consists of in-person education sessions as well as audit reviews on randomly selected charts. Providers will be required to commit to the training program 90 minutes on one day each month during a three-month period. The training sessions are held about 30-60 days apart to allow providers time to put into practice the principles of the training.
THPG is able to pull records for those providers who are on an EMR to which we have access. Providers who are either on paper, or operate in an EMR to which we do not have access, will be asked to provide the charts. In this case, the practice manager will be provided a list of patients for whom the charts are needed.
Practice managers will also be asked to manage their providers' schedules and obtain an appropriately-sized meeting room with a conference table for the trainer and providers.
Before their first session, a pre-analysis will be completed for all providers who are participating in the training session. The analysis will provide a starting point, using a sampling of the providers’ coding distributions and reimbursements.
The post-analysis will be performed within 60 days of the third session.
Here is some more information about the three sessions:
1. Initial in-person educational training session
This includes a review of the definitions of the E&M Codes, correct coding rules for the use of the E&M Codes, and instruction in the use of the copyrighted tools.
2. First audit and second in-person educational training session
Prior to this session, the physician trainer will review five randomly selected charts coded by each practitioner who participated in the initial in-person educational training session. The purpose of this session is to address the specific issues concerning E&M Code selection and documentation used by the practitioners that the audit of the charts revealed.
3. Second audit and third in-person educational training session
Prior to this session, the physician trainer will review five randomly selected charts coded by each practitioner who participated in the initial in-person educational training. This training session also addresses specific issues concerning E&M Code selection and documentation used by the practitioners that the audit of the charts revealed. The trainer also will train the participants on how to conduct future cross-reviews, including instruction on use of the audit tool.
For more information, contact Dr. Lynn Myers, Chief of EMR & Coding at Texas Health Physicians Group, at 682-236 5551.