Ophmasters Banner

Coding and Reimbursement Update 2021

Friday, July 9, 2021
Palm Beach, FL


Jacqueline Thelian, CPC, CPC-I, CHCA, CPMA
MedCo. Consultants Inc.
Fresh Meadows, NY

Mrs. Jacqueline Thelian is a Healthcare Consultant, Certified Professional Coder & Auditor, Subject Matter Expert and sought-after educator and Author with over 20 years of experience in medical coding and business management. Her extensive experience includes physician practice management, coding/billing compliance and reimbursement issues and she has taught extensively in Academic Medical Centers, The Chubb Institute, Hospitals, private physician practices and has conducted a variety of seminars for numerous Medical Societies.

She is also a AAPC Certified PMCC instructor for the PMCC (Professional Medical Coding Curriculum) Coding Certification Prep Course, and a Certified ICD-10 Expert Trainer. Her articles on clinical coding issues have been published in many popular healthcare publications.


Friday, July 9

8:00 – 12:30 PM

Updates to CPT Codes and Medicare Fee Schedule:

  • 2021 Fee Schedule Changes (RVUs & Conversion Factor)
  • Ophthalmic Ultrasound Anterior Segment
  • Remote Retinal Imaging
  • Remote Retinal Optical Coherence Tomography
  • Iris Prothesis Procedures
  • Trabeculostomy Ab Interno

2021 Evaluation & Management Changes

  • Understand the new elements for choosing the level of office and outpatient visit
  • Define the key terms in the revised Medical Decision Guidelines
  • Understand the category changes for Medical Decision Making (MDM)
  • Coding from the new and improved MDM Table
  • How social determinants of health affect the new guidelines
  • Changes on how to count individual diagnostic testing and medical record review for MDM
  • Changes to selecting the level of service based upon time
  • Updates to elements that can now be counted toward E/M time
  • New Prolonged Attendance Codes
  • New Medicare prolonged Attendance codes

Revenue Cycle Management (RCV)

  • Review of the revenue cycle for A/R Management
  • Credentialing
  • Data Intake – Registration
  • Eligibility & Pre-authorization
  • Data-Entry
  • Claim Submission
  • Reports Daily, Weekly, Monthly, Quarterly, Yearly
  • Payment Posting
  • Denial Management
  • Collections & Follow-Up
  • Policies & Procedures

Questions & Answers


Activity Overview

Physicians and coding experts will get updated information on current coding and reimbursement that will help their practice bill for the highest allowable reimbursement and avoid penalties and denials.

Target Audience

This activity is designed for physicians, nurses, coders, technicians, and administrators with a fairly good understanding of Medicare requirements, CPT and diagnosis code usage, and billing for services rendered.

Learning Objectives

Upon completion of the educational activity, participants should be able to:

  • Discuss changes to the 2021 fee schedule
  • Examine 2021 E/M documentation and coding changes
  • Review best practices for revenue cycle management

Criteria for Success

Certificates of completion will be awarded based on the participant’s attendance and submission of the activity evaluation/claim credit form at www.ophmasters.com/cme. You must participate in the entire activity to receive credit. There is no fee to participate in this activity. If you have questions about this activity, please contact AKH Inc. at tbrignoni@akhcme.com.


CME/CE provided by AKH, Inc., Advancing Knowledge in Healthcare

In support of improving patient care, this activity has been planned and implemented by AKH Inc., Advancing Knowledge in Healthcare and the Florida Society of Ophthalmology. AKH Inc., Advancing Knowledge in Healthcare is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.


AKH Inc., Advancing Knowledge in Healthcare designates this live activity for a maximum of 4.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AAPA Credit Designation Statement

AKH Inc., Advancing Knowledge in Healthcare has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 4.25 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.

Commercial Support

Full notification of commercial support will be provided in the final activity syllabus.