Jacqueline Bauer – Evaluation & Management Coding

Evaluation and Management (E&M) Coding is frequently one of the most challenging areas for medical coders, and at the same time are the most common codes used for services being billed.

Jacqueline Bauer – Evaluation & Management Coding

Terminology

• New patient
• Established patient
• On call for another physician
• Consultation
• Transfer of care
• Oversight services
• Additional important terms

Services

• Location
  • Outpatient
  • Office
  • Hospital observation
  • Hospital inpatient
• Type
  • New vs. established patients
• Level
  • Key components to select service level
    • History
    • Examination
    • Medical decision making
• Modifiers

Critical Care

• 10 commandments of critical care

Documentation

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Description:

Evaluation and Management (E&M) Coding is frequently one of the most challenging areas for medical coders, and at the same time are the most common codes used for services being billed. Discover how to correctly determine proper use of CPT® codes, whether to use 1995 or 1997 guidelines, and what to look for in the notes to ensure reimbursement.

Explore advantages and disadvantages of allowing the EHR to choose codes for you. Identify correct definitions of CPT® terms used and review all parts of the E&M section of the CPT® book (be sure to have your own CPT® book!). Walk away with the confidence to correctly utilize E&M codes the first time to maximize reimbursement.