Thursday, March 19, 2026
E/M Coding and Documentation Guidelines: Putting It All Together
9:00 AM-12:00 PM
(Program# 26581-0319)
3 PMI CEU(s)
Billing for Telehealth and Virtual Services
1:00 PM-4:00 PM
(Program# 26584-0319)
3 PMI CEU(s)
Where:
MONROE COUNTY MEDICAL SOCIETY
WEBINAR
ROCHESTER, NY 14623
Fee:
$239 per person
Includes instructional materials
Seating is limited. Please register early!
Register:
Fax:Phone: 585-473-7573
Mail: LUCIA CASTILLEJO, MS
MONROE COUNTY MEDICAL SOCIETY
PO BOX 22894
ROCHESTER, 14692
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E/M Coding and Documentation Guidelines: Putting It All Together
Evaluation and management (E/M) services are vulnerable to fraud and abuse, scrutiny from the OIG, government-contracted, and third-party auditors. Providers must 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. AMA & CMS guidelines for E/M code selection, and various policies, coverage determinations and requirements must be considered for each major payor.
Learn all the E/M coding rules and documentation guidelines, including the major changes for 2021. Master the process of accurately determining the appropriate E/M code level for services provided, and improve your understanding of the criteria utilized in making the determination. Learn the new vs. established patient guidelines distinctions, and coding E/M services based on time vs Medical Decision Making (MDM).
Highlights:
- Review essential coding guidelines for E/M services to ensure proper claims submission
- Understand the role of history and exam per guideline
- Medical Necessity and Nature of the Presenting Problem
- Total time for 99202 - 99215; what is included and excluded?
- Revised reporting rules for prolonged services in 2021
- Receive coding tips and strategies for successful documentation and claims submissions
Billing for Telehealth and Virtual Services
Learn how to bill appropriately for telehealth and virtual services and avoid penalties associated with fraudulent billing of these services. Understand relevant HIPAA Privacy and Security guidelines and comprehend the importance of reviewing payer-specific service requirements to ensure proper claim submission.
The policy and payment landscape around telehealth continues to be complex. Medicare did not extend the flexibilities available during recent years with an exception for the prescribing of controlled medications. Understand which practitioners can no longer furnish Medicare Telehealth services, what services will continue to be covered by CMS, and the in-person visit requirement exception for FQHCs and RHCs.
Understand which non-face-to-face services are not subject to the rules that apply to Medicare telehealth services and why. Gain clarity on recent updates to supervision requirements. New rules allowing virtual direct supervision and permitting teaching physicians to be virtually present will be explained.