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
PMI CEUs: PMI Certified Professionals will earn 3 PMI Continuing Education Units (CEUs) for attendance at this program. If you are seeking CEU credits for other certifications, contact your organization for preapproval and credit guidelines. A certificate of attendance will be provided for attendance at this program.