Evaluation and Management Coding and Documentation 101

HEALTHCARE Mar 28, 2018 60 minutes
01:00 PM EST 12:00 PM CST 11:00 AM MST 10:00 AM PST

Description:-

  • Understand the meaning of a Chief Complaint
  • The HPI revisited. History of Present Illness is one of the most important elements of E/M
  • Review of Systems (ROS) and the documentation requirements to allow for credit
  • CPT Documentation Guidelines Discussed and Interpreted
  • Time vs. Documentation elements
  • PFSH needs how many elements for a level 4?
  • 1995 or 1997 E/M Guidelines should we be using?
  • Doesn't MDM drive the CPT code?
  • We will show you how to pick a level of service 
  • We will make sure you are compliant with your documentation efforts.

What questions will be addressed?

  • New vs Established patient, Is the 3-year rule the only one to go by?
  • We are a specialty physician practice, are there different rules for us?
  • Are rules for NPP's different than rules for Physicians?
  • What E/M codes can RN's bill for?
  • Is scheduling a patient for a stress test automatically a moderate level of service?
  • Interactions with the physicians and what they need to do to be compliant.

Who Should Attend?

  • Front Office Staff
  • Office Managers
  • Back office staff
  • physicians
  • administrators
  • mid-level providers
Presenter BIO

Ms. Terry Fletcher is a Specialty Coding Industry Coding and Billing Expert, Auditor and Educator based in Laguna Beach, California, with over 30 years experience. Terry is a past member of the National Advisory Board for AAPC, past Chair of the AAPCCA, and AAPC National and Regional Conference Educator. Ms. Fletcher is the Technical Editor for the Select Coder® from DecisionHealth, Editorial Advisor for Cardiology Coding Alert! & Practice Management Coding Alert! from The Coding Institute. Ms. Fletcher is an Educator for McVey Seminars, MGMA, Audio Educator, AAPC, AHIMA, Medlearn, OnlineAudioTraining.com, DecisionHealth, TCI, and PioneerEducator, teaching over 100 specialty coding Seminars, Teleconferences, and Webinars every year. Terry is the author of several coding and reimbursement publications, as well as a practice auditor for multiple specialty practices around the country. Ms. Fletcher moderates her own Coding Corner Network for online CPT/ICD-10-CM Coding Questions from physician coders around the country. Terry holds a bachelor’s degree (BS) in Economics, multiple certifications in coding, and her proficiency certification in ICD-10-CM: CPC, CCC, CEMC, SCP-CA, ACS-CA, CCS-P, CCS, CMSCS, CMCS, CMC. Her coding and reimbursement specialties include Cardiology, Peripheral-Cardiology, Gastroenterology, E/M Auditing, Orthopedics, General Surgery, Neurology, and Interventional Radiology.

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