Learn the latest details on proper billing and documentation for E/M services in 2023, and how to accurately report prolonged services.
Changes to Evaluation and Management (E/M) coding and leveling methodologies affect inpatient services, observation, consultations, emergency departments, home, and residential visits, and skilled nursing facilities. New guidelines mean new clinical documentation requirements which require you to modify how you code for a variety of services.
MHL, CMC, CMCO, CMIS, CMOM
Jan Hailey has more than 30 years of experience in healthcare. She is proficient in administration, coding, and billing roles, and teaches medical office professionals around the country how to excel in their careers. Jan has also been instrumental in the development of PMI's Workforce Initiatives program.
Jan's affinity for teaching has helped countless healthcare providers and medical office professionals over the years. During her expansive career, she has served as Director of Quality for Saint Joseph Physician Network located in Mishawaka, IN, and Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. As Care Management Director, Jan led the physician network and comprehensive interdisciplinary team across the health system working closely with providers, management, staff, community, and payers to develop strategies for process improvement, gap closures, and patient experience. She developed a documentation improvement program and a Hierarchical Condition Category (HCC) coding education program to predict future healthcare utilization by accurately reporting patient complexity.
Prior to joining Saint Joseph, Jan was the Director of Quality, Coding, and Compliance for one of the largest health systems in Northern Indiana. She has a Master of Health Leadership and four professional certifications in office management, coding, insurance processing, and compliance. She is a member of WPS Government Health Administrators (Medicare) Provider Outreach and Advisory Group.
This information is vital to clean claims submission and timely payment in 2023.
No prerequisites; however, prior knowledge of CPT/EM coding and medical record documentation is beneficial.
Jan Hailey will share expert guidance on best practices for E/M coding and billing, outline the new clinical documentation requirements, work through real-life scenarios, and share tips for the proper application of the updated E/M guidelines and code changes. This information-rich session will help you keep your practice on track and financially viable. Know how to select the correct level of service based on medical decision-making or time. Review the appropriate use of the prolonged service codes and related documentation requirements. Understand how to navigate changes to the key components of history and exam and how to apply these elements to the new guidelines.
Self-paced online program includes unlimited review of recorded lecture and access to downloadable digital companion materials for 6 months.
Comments from past participants:
"Very informative. It gave clear, usable information on E&M changes."
"Excellent content. It really answered all the questions I have about 2023 changes."
"This was my first web training with PMI. I really enjoyed it. The speaker was very informative."
"It is a very thorough review of the upcoming coding changes for the new year. I loved the case studies!"