Evaluation and Management Professional Services

Description

This course delves into the intricacies of professional fee evaluation and management coding. Participants will gain a thorough understanding of the essential components involved in translating physician and qualified non-physician provider-patient encounters into precise five-digit numerical codes, crucial for receiving payment from federal, state, and commercial carriers in the United States. Through in-depth lessons, students will explore the seven key elements recognized in E/M levels, including appropriate history, examination, and medical decision-making, among others. They will also learn how to select the appropriate E/M service level based on factors such as documentation, patient status, and medical decision making. Moreover, this course highlights the organizational impact of complete and accurate documentation, emphasizing its role in preventing improper billing and ensuring proper reimbursement for professional services.

Included Lessons:

• What Is Evaluation and Management (E/M)
• E/M Levels Recognize Seven Components
• There Are 3 Key Components Used To Select the Level of E/M Service
• Instructions For Selecting a Level of E/M Service
• Organizational Impact

Key Takeaways

• Understanding of E/M Coding Principles: Participants will gain a solid foundation in the principles of Evaluation and Management (E/M) coding, including the significance of accurate code selection for professional fee reimbursement.
• Comprehensive Knowledge of E/M Levels: Students will be able to recognize and distinguish between the various E/M levels, including the seven essential components that play a role in code selection, such as history, examination, and medical decision-making.
• Code Selection Mastery: Coders will learn how to select the appropriate E/M code based on patient status, medical documentation, and the complexity of medical decision-making, ensuring precise code assignment.
• Documentation Evaluation: Participants will become adept at reviewing medical documentation, clinic notes, progress reports, and discharge summaries to determine the level of E/M service supported by the provided information.
• Organizational Impact Awareness: The course will emphasize the importance of complete and accurate documentation for medical necessity, and coders will understand how E/M codes impact professional service billing within healthcare organizations.

Benefits of Taking this Course

• Enhanced E/M Coding Proficiency
• Improved Accuracy
• Reduced Risk
• Increased Career Opportunities
• Greater Confidence
• Knowledge of E/M Coding

FAQs

About our Medical Coding Courses

HIAlearn, powered by Health Information Associates (HIA)—a leader in medical coding and auditing for more than three decades—offers a comprehensive online education platform for medical coders. With a catalog of over 200 medical coding courses accepted by the American Health Information Management Association (AHIMA) for Continuing Education Units (CEUs) and a selection approved by the American Academy of Professional Coders (AAPC), HIAlearn caters to both beginners and experienced medical coders seeking to enhance their skills. The platform provides an array of training plans tailored to meet individual learning needs, from mastering challenging coding procedures to understanding broad conceptual frameworks within the coding world. Courses are available across various coding types including CPT, E/M, ICD-10-CM, ICD-10-PCS, and are designed to cater to different coder levels and coding specialties such as inpatient, outpatient, profee, and CDI. Additionally, HIAlearn offers a Coding Updates bundle to ensure coders are up-to-date with the annual changes in ICD-10-CM, ICD-10-PCS, CPT, and IPPS. Beyond individual learning, HIAlearn supports organizations with group discounts, promoting enhanced coding accuracy, efficiency, and compliance across teams.