Online Training Course
Prod ID: 1155
E/M Coding and the Documentation Guidelines
Evaluation and management (E/M) services refer to diagnostic/therapeutic management of the patient furnished by healthcare providers. The Center for Medicare and Medicaid Services (CMS) has found E/M services vulnerable to fraud and abuse. Scrutiny from the OIG, government-contracted, and third-party auditors highlight the importance of keeping your E/M coding skills current.
CEUs
3
Length
158 min
Price
$239.00
Gain clarity to distinctions regarding new vs. established patient guidelines and coding E/M services based on time vs Medical Decision Making (MDM). Find out what non-face to-face work is to be included in total time and gain details on the time ranges. Learn when and how to use the CPT prolonged services code(s) and when to use office and outpatient visit codes without an add-on prolonged care code based on time.
Highlights:
- Review essential coding guidelines for E/M services to ensure proper claims submission
- Understanding the role of history and exam
- Medical Necessity and Nature of the Presenting Problem
- Coding based on time; what is included and excluded?
- Review reporting rules for prolonged services
- Receive coding tips and strategies for successful documentation and claims submissions
This course is appropriate for providers, clinical, and practice staff involved in diagnostic and procedural coding. Beginning and certified coders alike will benefit from this course. Consultants and office managers may also benefit from learning coding rules and documentation guidelines relevant to proper E/M code selection.
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Audrey CoaxumCHC, CEMC, CPC, RAC-CT, CMC, CMIS, CMOM, CMCO, CMCA-E/M |
Audrey E. Coaxum is an influential leader with more than twenty-five years of relevant experience involving many facets of healthcare operations. She is recognized for having an exceptional ability to analyze systems and processes, create best practices, develop policy and procedures, as well as, diverse methods that are compliant, proactive and geared towards eliminating waste and revenue losses, while enhancing operational efficiencies and achieving strategic goals. Audrey has a sterling reputation across the healthcare community as a customer-service oriented strategic problem solver and trusted advisor. She has extensive knowledge and experience in leadership development, medical billing and coding, reimbursement and comprehensive clinical and business operations.
Audrey has served as a C-suite executive for many organizations where her skills as a progressive analyst afforded her the opportunity to champion initiatives involving the implementation of Value-Based Payment Models and the benchmarking of Key Performance Indicators in productivity, patient volume, budget performance and clinical quality outcomes. Motivated by her desire for change and to overcome concerns, she has overseen a range of activities directed towards the evolution and refinement of quality improvement, risk management and practice administration needed to diminish the day to day challenges facing today’s medical practices.
Audrey’s professional interests focus on various aspects of compliance that streamline operations and enhance profitability without compromising quality of care. As a strong advocate of hands-on, inquiry based learning, she currently spearheads activities related to compliance education and training. She conducts audits and reviews to identify trends, issues and potential areas of risk to assist her in developing technology-infused training programs geared towards educating clinicians, administrators and support staff.
Participants will learn coding rules and documentation guidelines relevant to proper E/M code selection and master the process of accurately determining the appropriate E/M code level for services.
No prerequisites required.
CMS requires healthcare providers to accurately determine the appropriate complexity level of an E/M service, corresponding to the amount of skill, effort, time, responsibility, and medical knowledge required for the healthcare provider to deliver the service to the patient. In addition to the AMA & CMS guidelines for E/M code selection, there are also various policies, coverage determinations, and requirements that must be considered for each major payor.
Learn coding rules and documentation guidelines relevant to proper E/M code selection and master the process of accurately determining the appropriate E/M code level for services. Put it all together to improve your understanding of the criteria that are utilized in making the determination.
Comments from past participants:
"Great refresher on E/M."
"Very good information."
"Great presentation and examples."
Other classes like this.
Certified Medical Chart Auditor-E/M (CMCA-E/M)
E/M Chart Auditing for Physician Services
Mastering E/M Coding