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Family Practice Coding Alert

Mining the Gold in Care Plan Oversight

Presented by Trish Bukauskas-Vollmer, CMM, CPC, CMSCS

The following supplement to Family Practice Coding Alert is the transcript of a teleconference presented by The Coding Institute. To obtain the slides for the conference, please log on to our Online Subscription System at and download the current issue, and the slides will be contained therein. If you're not sure how to use the Online Subscription System or need help downloading the issue, please contact our customer service department at 1-800-508-2582 or, and one of our representatives will be able to assist you.

The speaker for the teleconference, Trish Bukauskas-Vollmer, CMM, CPC, CMSCS, has over 19 years in the medical field. She currently is the President and CEO of T.B. Consulting, a firm specializing in education, consulting, auditing, compliance, and initial start-up of medical offices and clinics. She is a Certified Medical Manager through the Professional Association of Health Care Office Managers (PAHCOM) and a Certified Professional Coder (CPC) with the American Academy of Professional Coders (AAPC) and American Health Information Management Association (AHIMA) and national membership director for the Professional Association of Healthcare Coding Specialists (PAHCS). She is also an active member of the American Society of Interventional Pain Physicians (ASIPP). She presents seminars and coding workshops across the country. Care plan oversight is one of the forgotten revenue of today's practices.  Physicians all over are losing money, and they are doing this service and they are not even aware that they can bill for it.  I was recently working with the urology practice, and we had a lot of patients that were receiving home healthcare and the physicians were constantly being bothered - not being bothered, but getting telephone calls having to do orders.  What is care plan oversight?  Care plan oversight is supervision of patients under the care of home health agencies or hospices that require a complex of multidisciplinary care.  What are some of the services that are included in care plan oversight?  Care plan oversight includes regular physician development and/or revision of care plan.  When a person is an inpatient in a hospital and discharged with some home health, they might need medications, dressing changes, additional care - that is included.  Review of subsequent reports of the patient status, review of related lab and any other studies, communication with other health professionals that are not employed in the same practice - that is also involved in the patient's care.  Possibly rehab, physicians or if there is an ontologist working with the physician or maybe a cardiac specialist because the physician has some other co-morbidities - those and review of reports and things like that from them.  Integration of new information into the medical treatment plan [...]

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