Jacqueline Bauer – Evaluation & Management Coding

Evaluation Management (E&M) Coding This is often one of the most difficult areas for medical coders and the most commonly used codes for billing services.

Jacqueline Bauer – Evaluation & Management Coding

Terminology

• New patient
• Established patient
• On-call for another physician
• Consultation
• Transfer of care
• Services for oversight
• Other important terms

Services

• Lage
  • Outpatient
  • Office
  • Hospital observation
  • Hospital inpatient
• Type
  • New vs. established patients
• Level
  • The key components that determine the service level you choose
    • Histories
    • Examining
    • Medical decision making
• Modifiers

Critical Care

• 10 Commandments for Critical Care

Documentation

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Description:

Evaluation Management (E&M) Coding It is one of the most challenging areas in medical coders. At the same time, it is the most frequently used codes 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 the benefits and drawbacks of allowing your EHR to select 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!). With the confidence to correctly use E, you will leave.&To maximize reimbursement, use amp;M codes for the first time.