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Course

Inpatient and Observation E/M Services

Instructor

Faye Grile, CCS-P, CDIP, CPC, COC, CPCO, CPMA, CEMC

Description

Discover the intricacies of medical coding for Inpatient Evaluation and Management Professional Services in this comprehensive course. Gain in-depth knowledge of key concepts, including inpatient status, admission orders, coverage, and reimbursement, particularly within the Medicare framework. Explore various Inpatient E/M service levels, from initial hospital care to discharge, with a focus on Medical Decision-Making (MDM) and time-based documentation. Learn to handle unique scenarios like admissions from different service sites and same-day discharges. Understand the organizational impact of inpatient services in the context of evolving regulations.

Included Lessons:

  • What Are Inpatient E/M Services
  • What Is Meant By Inpatient Status
  • Hospital Inpatient Admission Order and Certification
  • Who Can Authorize An Admission
  • Coverage and Reimbursement
  • Inpatient E/M Levels of Service
  • Documentation Using MDM or Time
  • Patient Admitted To Hospital VIA Another Site of Service
  • Initial Hospital Care and Discharge on Same Day
  • Hospital Subsequent Days
  • Hospital Discharge Day
  • Time-Based E/M Billing Based Upon Unit/Floor Time
  • Organizational Impact
CEUs available for the following credentials:

AAPC

COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPMA, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC

AHIMA

CCA, CCS, CCS-P, RHIT, RHIA, CDIP, CHDA, CHPS

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Key Takeaways

Overall, this course equips medical coders with the knowledge and skills necessary to excel in the specialized field of inpatient evaluation and management coding, ensuring they are well-prepared to handle the intricacies of this vital aspect of healthcare reimbursement and documentation.

  • In-Depth Knowledge of Inpatient E/M Coding: Coders will have a comprehensive understanding of inpatient evaluation and management coding, including the various levels of service and their specific requirements.
  • Understanding of Inpatient Status: Coders will be well-versed in the concept of inpatient status, including the formal admission process and the legal requirements, particularly within the Medicare framework.
  • Admission Order and Certification: Coders will know the importance of the admission order and certification for inpatient hospital coverage and payment under Medicare Part A.
  • Coverage and Reimbursement: They will have insights into how Medicare Part A and Part B cover and reimburse inpatient hospital services and how commercial insurance plans may have their own rules.
  • Differentiation of E/M Levels: Coders will be able to differentiate between various inpatient E/M service levels, including Initial Hospital Care, Subsequent Hospital Care, Consultation, and Hospital Discharge.
  • Documentation Proficiency: Coders will learn how to document inpatient services effectively using either Medical Decision-Making (MDM) or time-based methods, ensuring accurate coding.
  • Handling Unique Scenarios: They will be equipped to handle unique scenarios, such as admissions from different service sites and same-day discharges, understanding the coding implications.

Benefits of Taking this Course

  • Specialized Skillset
  • Comprehensive Inpatient Service Understanding
  • Coding Accuracy
  • Compliance Knowledge
  • Adaptability
  • Contribute to Quality Care

FAQs

What is the significance of inpatient E/M coding, and why is it essential for my career as a medical coder?
Inpatient E/M coding is crucial because it involves coding for complex medical cases in a hospital setting. Specializing in this area can lead to career advancement and higher earning potential.
How will this course enhance my coding skills and knowledge compared to a general medical coding course?

This course provides specialized knowledge in inpatient E/M coding, covering topics like admission orders, coverage, documentation, and compliance specific to hospital settings.

What are the potential challenges in inpatient E/M coding, and how does this course prepare me to address them?
Challenges may include complex medical cases and evolving regulations. This course equips you with the knowledge and skills to navigate these challenges effectively.

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. 
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Overview
Price
Price : $35.99
Courses
Courses : 1
CEUs
AHIMA CEUs : 1
CEUs
AAPC CEUs : 1
Code Type
ICD-10-CME&M