E&M Coding & Documentation for OB/GYN

Event Information
Product Format
Prerecorded Event
Jan Rasmussen, PCS, ACS-GI, ACS-OB
60 Minutes
Product Description

Avoid landing in an auditor’s crosshairs because of lacking E/M documentation.

E/M coding might be part of your everyday routine, but that doesn’t mean you have to fall into a coding rut. The best way to boost your bottom line is reviewing and improving documentation — or else. Every ob-gyn practice knows that audits often focus on E/M services. Every year, the Office of Inspector General (OIG) reviews common E/M mishaps.

For instance, the OIG recently focused on the number of E/M services that physicians provided during global surgery periods and reviewed claims for which physicians appended a modifier so they could separately collect for E/M visits during the global period.

Rule of thumb: Don't bill separately for E/M-related services relating to the original surgery during the global period. The global surgical package includes routine postoperative care during the global period. You should only append modifier 24 (Unrelated evaluation and management service by the same physician during a postoperative period) to an appropriate E/M code when an E/M service occurs during a postoperative global period for reasons unrelated to the original surgical procedure.

Learn other vital E/M tips from expert presenter, Jan Rasmussen. You’ll walk away with handy charts outlining each level service so that you know you’re reporting the best code for each evaluation and management service your ob-gyn provides.

This session will help you:

  • Identify levels of service based on the presenting problem.
  • Highlight problem areas for history, exam, and medical decision making.
  • Draw the line between preventive versus problem oriented services.
  • Go in-depth with billing for EM complications for pregnant patients.
  • Avoid these pitfalls of EMR documentation.

Who should attend? Coders, auditors and providers in Ob/gyn

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About Our Speaker

Jan Rasmussen - Gastroenterology Coding Expert

Jan Rasmussen, PCS, ACS-GI, ACS-OB, is a healthcare consultant with more than 30 years of experience in physician billing, reimbursement and compliance. She is a former board member of the American Academy of Professional Coders (AAPC). As a member of the AAPC, Rasmussen previously served on the AAPC Advisory Board as the liaison to the American Medical Association (AMA).

Jan was a board member and Regional Governor for...   More Info
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