PMI Basics: Introduction to E/M Coding
There are many things that need to be considered in order to determine the appropriate Evaluation and Management (E/M) code to use. This program will walk you through the fundamental principles underlying all evaluation and management coding and outline the steps that relate accurate code selection to proper reimbursement. Learn to identify and discuss the components of an E/M service focusing on the three key components, define medical necessity and comprehend the general rules for documenting E/M services.
Participants will receive E/M coding grids to aid in accurate level-of-service selection. Learn how to identify the E/M category/subcategory, and determine the level of history, the extent of the exam performed and the complexity of the medical decision making. Learn when time is a factor in selecting the proper code. Gain insight into the major differences between the '95 and '97 documentation guidelines gain confidence for discussing the components of selecting the proper E/M code.
- Overview of the CMS Documentation Guidelines for E/M Services
- Identify abbreviations like CC, ROS, and HPI
- E/M coding grids to aid in accurate level of service selection
- Hands-on practice utilizing E/M audit tools
Who Should Attend?
- Novice outpatient coders
- Experienced coders seeking a refresher on E/M coding basics
- Compliance and clinical staff seeking a grasp of E/M coding fundamentals
This is a basic-level course. Content assumes an awareness of the role of medical coding in relation to outpatient provider reimbursement.
What to Bring
A course manual will be provided. Students may bring a CPT code set manual (optional).
Practice Management Institute 0717
Continuing Education Units (CEUs)
Earn 3 PMI CEUs for attendance at this program. Practice Management Institute grants CEUs for its certified professionals based on total number of instructional hours (1 CEU per hour of classroom instruction). CEUs may be applied to annual recertification requirements, as directed in the certification renewal requirements for your credential(s).
If you are seeking CEU credits for other certifications or organizations, please contact your organization for pre-approval and credit guidelines. A certificate of attendance will be provided.