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Mastering E/M Coding
E/M lays the groundwork for the reimbursement process. It is also a well-known audit trigger. Documentation deficiencies and improper level of service selection can be a tremendous liability. Join this class to receive a step-by-step explanation of E/M coding and documentation guidelines. By the end of this session, you will gain confidence working with provider documentation and E/M codes to ensure they meet the guidelines for accurate reimbursement.
This program provides the knowledge and tools needed to internally monitor E/M billing compliance. Learn to relate accurate code selection to proper reimbursement. Improve identification of accurate, adequate, and clinically useful information. Understand how to select the proper E/M code for location and type of service provided to the patient. Know how documentation is used to record the complexity of medical decision making and how to select the proper code based on medical decision making or total time. Understand when to report services separately and when and how to use prolonged service codes.
Highlights:
- Step-by-step explanation of documentation guidelines
- 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 medical 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
Full Schedule
Program times are Central unless otherwise noted.
| Session | Date | Time | Instructor | |
| 1 | March 28, 2025 | 11:00 am - 2:00 pm | Margo Reyes | |
| Fee: $239.00 | Register | |||
Can't attend a live session? This training is available On Demand.
CEUs:
| PMI | 3 |
Log in instructions will be emailed to registrants a few days prior to the online event.
Target Audience
Providers and coding/billing professionals are encouraged to attend.
Prerequisites
A self-supplied current year CPT code set manual is recommended for full engagement with the course material and completion of practice exercises.
Course Materials
Digital companion materials will be provided. A self-supplied current year CPT® manual is optional.
About the Presenter
Margo Reyes CEMC, CMC, CMCA-E/M, CPC, CPB, CRC, CCC, CPMA
Margo is a Certified Professional Medical Auditor, and clinical documentation specialist, with more than 30 years of experience in healthcare management, billing, and coding. She works for the University of Texas Health RGV and uses her extensive knowledge to help all types of healthcare practices improve the revenue cycle.
Prior to transitioning to her role as a medical auditor, she worked with clinical documentation to code and bill cardiology, cardiothoracic, and vascular procedures for a large cardiology group. The cardiology coding team worked closely with the revenue cycle team to achieve 95 percent claim accuracy for payer reimbursement.
Margo also provides initial and continuation education/training to all UT Health RGV coders, onboarding providers, and first-year GME residents. Training consists of evaluation and management (E/M) and procedure documentation per current CMS/AMA guidelines.
Margo holds certifications with PMI: Certified Medical Coder (CMC), and Certified Medical Chart Auditor-E/M (CMCA-E/M), and the American Academy of Professional Coders: Certified Professional Coder (CPC), Certified Professional Biller (CPB), Certified Risk Adjustment Coder (CRC), Certified Cardiology Coder (CCC), and Certified Professional Medical Auditor (CPMA).