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E/M Coding Guidelines 101
- Elements of documentation that represent a visit
- History and what describes the history of present illness, review of systems, and past family social history
- Choose the best guidelines to use that represents the examination of a patient
- Determine which 2 criteria of diagnosis(es), data, and risk should be used for medical decision making
- When time can be your reason for which service you choose
- Combining it all together for accurate reporting of visits
- Considering auditing as your next career step
- The future of E/M services
Overview of the webinar
Evaluation and Management (E/M) services make up a large portion of services and revenue for providers billing professional services. E/M is the means in which providers get paid for visits in all settings of medical services. There are different types of visits and different ways of documenting these services based on CPT® and CMS (Centers for Medicare and Medicaid Services) guidelines. The history, examination, and medical decision making are the components in which most visits are chosen, and the different levels of service are assigned by what elements are documented for the visit. There are also visits that can be or are determined by time.
Who should attend?
- Physicians
- Doctors
- Nurse
- Coders
- Billers, Billing Managers/supervisors/directors
- Auditors
- Compliance Officer
- Coder Physicians
- Advanced Practice Nurse
- Practice Administrators
Why should you attend?
Anyone who is choosing levels of evaluation and management services (E/M) for office, outpatient, and inpatient visits and is responsible for making sure that the documentation substantiates the level of service chosen, as well as the medical necessity, is considered.
This webinar would also benefit those that are currently auditing or thinking about becoming an auditor. Many auditors spend a good deal of their time applying E/M guidelines to visits to determine the accuracy of coding and educate providers on these guidelines and their documentation.
Faculty - Ms.Lynn Anderanin
Senior Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She is a former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served on several other boards for the AAPC. She is also the founder of her local chapter of the AAPC. Her experience is primarily in the specialties of Orthopedics, Rheumatology, and Hematology/Oncology. She has been a speaker for many conferences, including the AAPC National Conferences and Workshops, Community Colleges, audio conferences, and Local Chapters. Lynn became a CPC in 1993, and a Certified Instructor in 2002, and a Certified Orthopedic Surgery Coder in 2009.