Online Training Course

Prod ID: 178
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.

CEUs

3

Length

150 min

Price

$199

Updated for 2021

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 to relate accurate code selection to proper reimbursement. Receive a comprehensive explanation of E/M coding and documentation guidelines and identification of accurate, adequate and clinically useful information.

 

Linda D'Spain

CMPE, CMC, CMIS, CMOM, CMCO, CMCA-E/M


Linda is President of her medical practice management consulting firm, D'Spain Consulting. She travels the country conducting national seminars, workshops and webinars and consulting with physician practices, hospitals and medical societies on healthcare reimbursement, documentation guidelines, procedural and diagnostic coding, financial management, human resources, medical office management and compliance with fraud and abuse, OSHA, and HIPAA. She has also served as an Independent Review Organization (IRO) for the Office of the Inspector General and consulted for the Texas Medical and Dental Boards.

With more than 30 years of experience in medical practice management, Linda has managed cardiology, cardiothoracic, vascular surgery, physical therapy, orthopedics, pediatric orthopedics, gynecology and reproductive endocrinology and large multispecialty group practices. She maintained broad responsibilities in business and clinical operations, financial management, governance and organizational dynamics, human resource management, marketing, customer service, compliance, information system management, mergers and acquisitions and risk management.

Linda has attained all five PMI certifications. She also has a degree in Business Administration and is a Board Certified Medical Practice Executive through the American College of Medical Practice Executives, a member of the San Antonio Medical Group Managers Association (MGMA) and has served as an advisory board member with PMI.

This course provides the knowledge and tools needed to internally monitor billing compliance.

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

Highlights:

  • 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 necessity 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
  • Review examples of chart notes to identify potential problem areas

Self-paced online program includes unlimited review of previously recorded instruction and the downloadable PowerPoint handout for 6 months.

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