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Evaluation & Management Coding: Maximizing Reimbursement Claims

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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 u...
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Information

Faculty:
Jacqueline Bauer
Duration:
5 Hours 9 Minutes
Format:
Audio and Video
Copyright:
Apr 20, 2016

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.

Handouts

Outline

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

Faculty

Jacqueline Bauer, CPC, CPMA, PMCC-I, CPC-I, CSS, Related seminars and products: 1


Jacqueline Bauer CPC, CPC-I, CPMA, PMCC-I, CRC, CSS, has over 25 years of coding experience and 15 years of experience as an instructor. She is a CPC credentialed instructor with the American Academy of Professional Coders, an ICD-10 instructor and examination administrator, and a Certified Professional Medical Auditor. Ms. Bauer has prepared countless individuals for the CPC credential exam and transition to ICD-10, in addition to being a Medical Coding Instructor at Rowan College.

Speaker Disclosures:

Financial: Jacqueline Bauer is an instructor at Rowan College. She receives a speaking honorarium from PESI, Inc.

Non-financial: Jacqueline Bauer has no relevant non-financial relationship to disclose.