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Digital Seminar

Evaluation & Management Coding: Maximizing Reimbursement Claims

Faculty:
Jacqueline Bauer, CPC, CPMA, PMCC-I, CPC-I, CSS,
Duration:
5 Hours 09 Minutes
Format:
Audio and Video
Copyright:
Apr 20, 2016
Product Code:
WDS020066
Brochure Code:
WDCBEMAC
Media Type:
Digital Seminar
Access:
Never expires.
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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.

Credits

Handouts

File type File name Number of pages
PDF Handouts (4.2 MB) Available after Purchase
PDF Presentation (7.4 MB) Available after Purchase

Faculty

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

JACQUELINE BAUER CPC, CPMA, PMCC-I, CPC-I, 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.

Additional Info

Program Information

Access for Self-Study (Non-Interactive) Access never expires for this product.

Target Audience

Coding and Billing Staff, Physicians, Nurse Practitioners, Physician Assistants, Medical Records Personnel, Office Managers, Medical Assistants, Revenue Cycle Staff, Reimbursement Staff

Objectives

  1. Identify the difference between consultations and transfer of care
  2. Determine proper service level based on key components
  3. Apply critical care codes correctly
  4. Develop strong documentation that will back your billing
  5. Reduce your risk of up coding/fraud/abuse
  6. Distinguish when to use 1995 vs 1997 guidelines

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
  • Think in ink
  • Reduce risk of coding fraud/abuse
Guidelines: What They Are and How to Use Them
  • 1995 vs. 1997 guidelines
  • EHR's

Reviews

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Overall:      4

Total Reviews: 1

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs

We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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