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1. Identify the difference between consultations and transfer of care
2. Determine proper service level based on key components
3. Apply critical care codes correctly
4. Develop strong documentation that will back your billing
5. Reduce your risk of up coding/fraud/abuse
6. Distinguish when to use 1995 vs 1997 guidelines

Terminology

• New patient
• Established patient
• On call for another physician
• Consultation
• Transfer of care
• Oversight services
• Additional important terms

Services

• Location
• Outpatient
• Office
• Hospital observation
• Hospital inpatient
• Type
• New vs. established patients
• Level
• Key components to select service level
• History
• Examination
• Medical decision making
• Modifiers

Critical Care

• 10 commandments of critical care

Documentation

• Think in ink
• Reduce risk of coding fraud/abuse

Guidelines: What They Are and How to Use Them

• 1995 vs. 1997 guidelines
• EHR's

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-397-0180 for more details.

Listed below are the continuing education credit(s) currently available for this self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Coding and Billing Staff, Physicians, Nurse Practitioners, Physician Assistants, Medical Records Personnel, Office Managers, Medical Assistants, Revenue Cycle Staff, Reimbursement Staff