Online Training Course

Mastering E/M Coding

E/M lays the groundwork for the reimbursement process. It is also a well-known audit trigger. This course provides the knowledge and tools needed to internally monitor billing compliance. 




180 min



E/M lays the groundwork for the reimbursement process. However, documentation deficiencies and improper level of service selection can be a tremendous liability. Improve confidence working with provider documentation and E/M codes and ensuring they meet the guidelines for accurate reimbursement. Learn an internal chart documentation training system designed to help staff proactively identify and correct potential problems on an ongoing basis. Receive a comprehensive explanation of documentation guidelines and identification of accurate, adequate and clinically useful information.

  • Relate accurate code selection to proper reimbursement
  • Review sample chart notes
  • Step-by-step explanation of documentation guidelines
  • The down side of using EMR templates for E/M code selection
  • Select proper E/M code for location and type of service provided to the patient
  • Explanation of proper add-on code usage
  • Look at appropriate codes for work performed by ancillary providers
  • Instruction of diagnosis codes indicating level of necessity
  • E/M coding grids to aid in accurate level of service selection
  • Documentation necessary in the medical record
  • Correct use of Level II CPT® modifiers
  • How documentation is used to record the complexity of medical decision making
  • The role of history and exam in medical decision-making
  • Review examples of chart notes to identify potential problem areas

Maxine Collins


Maxine has more than thirty years of experience in medical practice management, adult education and general business. She has taught courses at various levels, including teaching business communications and accounting at Midwestern State University in Texas. Maxine has extensive experience teaching administrative and clinical personnel essential medical office skills such as medical terminology, coding, reimbursement, OSHA, and HIPAA compliance. She is adept at personnel management, government rules and regulations, accounting and budgeting. Additionally, her experience with practice marketing and development make her a knowledgeable and much sought-after practice management resource.

Maxine has served as an administrator of a multi-specialty clinic, where she was responsible for all clinic operations including medical records, billing and collections, OSHA, HIPAA and Medicare compliance, and all accounting operations. She also has experience in medical practice consulting, and has successfully launched multiple practices.

Maxine holds a MBA in business from Midwestern State University. She is also a Certified Public Accountant and holds three PMI credentials.

This content covered in this course assumes a basic to intermediate understanding of E/M coding and documentation.

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