Mastering E/M Coding

E/M lays the groundwork for the reimbursement process. It is also a well-known audit trigger. This course provides the knowledge and tools needed to internally monitor billing compliance.

Documentation deficiencies and improper level of service selection can be a tremendous liability. Improve confidence working with provider documentation and E/M codes and ensuring they meet the guidelines for accurate reimbursement. Learn to relate accurate code selection to proper reimbursement. Receive a comprehensive explanation of E/M coding and documentation guidelines and identification of accurate, adequate and clinically useful information.

This course provides the knowledge and tools needed to internally monitor billing compliance. 

Highlights:

• Step-by-step explanation of documentation guidelines
• The down side of using EMR templates for E/M code selection
• Select proper E/M code for location and type of service provided to the patient
• Explanation of proper add-on code usage
• Look at appropriate codes for work performed by ancillary providers
• Instruction of diagnosis codes indicating level of necessity
• E/M coding grids to aid in accurate level of service selection
• Documentation necessity in the medical record
• Correct use of Level II CPT modifiers
• How documentation is used to record the complexity of medical decision making
• The role of history and exam
• Review examples of chart notes to identify potential problem areas

This content covered in this course assumes a basic level understanding of E/M coding and documentation.

CEUs
3

Length
170 min

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