Provider Training – E/M: Amount and/or Complexity of Data to be Reviewed and Analyzed
Instructor
Brittany Sowards, BA, CPC, CPMA, CCC, CCVTCDescription
This 15-minute webinar dives into the “data” component of Medical Decision Making (MDM) for Evaluation & Management (E/M) coding. You’ll learn how the amount and complexity of data you gather, review, and analyze factor into selecting the appropriate E/M level. The session clarifies how to count data elements correctly and avoid under- or overcoding.
Key Takeaways
- Understand the data column of the Medical Decision Making grid and why it matters in E/M selection
- Learn the four categories of data (tests & documents, independent historian, independent interpretation, discussions) and how each contributes to complexity
- Know how to count unique tests and sources, how orders + reviews factor in, and when multiple elements are grouped vs counted separately
- See how “discussion of management” and “interpretation” count toward data points, with examples
- Get clarity on the thresholds for minimal, low, moderate, and high data complexity levels
Who this course is for
- Providers who want to ensure correct E/M level assignment based on documentation
- Coding professionals (outpatient, professional fee) looking to master MDM rules
- CDI (Clinical Documentation Improvement) specialists assuring defensible data documentation
Why it matters
- Miscounted or mis-documented data elements can lead to downcoding or audit risk
- Proper use of data complexity bolsters accuracy and compliance in E/M coding
- Helps you defend your coding decisions and ensures alignment with payer and CPT rules
What you get
- 15-minute webinar — focused, practical content you can watch on your schedule
- Transcript & slides available for review and reference
- Insights you can apply immediately to documentation and coding workflows
FAQs
Can I purchase this course individually?
How long is each course in the Training Plan?
Who is the Provider Training Series designed for?
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 flexible, online education platform designed for today’s coders. With a growing catalog of AHIMA and AAPC-approved coding courses, HIAlearn supports both beginners and experienced coders looking to build confidence, accuracy, and CEU credits.
Courses are available across various coding types including CPT, E/M, ICD-10-CM, and ICD-10-PCS, and are designed for multiple specialties including inpatient, outpatient, profee, and CDI.
To stay up to date, coders can explore our Coding Updates hub for the latest ICD-10-CM, ICD-10-PCS, CPT, and IPPS changes. HIAlearn also supports organizations with group discounts and scalable team access, promoting accuracy, compliance, and continuous professional development across departments.
Overview
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