E/M Coding Simplified
What you will learn
Introduction to E/M Coding: Overview of E/M coding principles Importance of accurate coding in healthcare Key terminologies and definitions
E/M Coding Guidelines: Explanation of the various E/M codes Criteria for selecting the appropriate code Differences between new and established patient codes
Codes for different levels of service (e.g., office visits, hospital visits) Essential elements for E/M documentation
History, examination, and medical decision-making Use of time-based coding
ICD-10-CM (International Classification of Diseases, 10th Edition, Clinical Modification) CPT (Current Procedural Terminology) codes
Why take this course?
An Evaluation and Management (E/M) course is designed to educate healthcare professionals on the correct coding and documentation practices required for E/M services. These services encompass a wide range of clinical activities including patient evaluations, consultations, and ongoing management of care. Proper E/M coding ensures accurate billing, compliance with regulations, and appropriate reimbursement from payers.
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Course Content:
- Introduction to E/M Coding:
- Overview of E/M coding principles
- Importance of accurate coding in healthcare
- Key terminologies and definitions
- E/M Coding Guidelines:
- Detailed explanation of the various E/M codes (e.g., 99201-99499)
- Criteria for selecting the appropriate code
- Differences between new and established patient codes
- Codes for different levels of service (e.g., office visits, hospital visits)
- Documentation Requirements:
- Essential elements for E/M documentation
- History, examination, and medical decision-making
- Use of time-based coding
- Documentation to support the level of service billed
- Coding Systems and Tools:
- ICD-10-CM (International Classification of Diseases, 10th Edition, Clinical Modification)
- CPT (Current Procedural Terminology) codes
- Use of electronic health records (EHR) for coding and documentation
- Compliance and Auditing:
- Understanding compliance requirements
- Common coding and documentation errors
- Strategies for internal auditing and self-assessment
No Prior Experience Required:
- Many E/M courses are designed to cater to both beginners and those with prior experience. Basic healthcare knowledge is often sufficient, though prior experience with coding or medical billing can be advantageous.
