Evaluation and Management Coding for Internal Medicine

Event Information
Product Format
Prerecorded Event
Presenter(s)
Cathy Jennings, BS, CPC, CPC-I, CEDC, CHONC, AHIMA Approved ICD-10 Trainer
Conference Date
Thu, Feb 16, 2017
Length
60 minutes
Product Description

E/M Documentation, EMRs in E/M Coding & MDM for Internal Medicine.


Evaluation and Management coding is critical in making sure that your practice is paid appropriately and in avoiding the risk of audits. Providers need to know how the documentation of a visit relates to the level of evaluation and management, and coders need to know how to communicate the information to their providers.

In this webinar, expert speaker Cathy Jennings, BS, CPC, CPC-I, CEDC, CHONC, AHIMA Approved ICD-10 Trainer will review documentation guidelines, the role of EMRs in E/M coding, and medical decision making for internal medicine providers. Learn about the basics of the 1995 Documentation Guidelines, which is most used in internal medicine by CMS in determining a level of service.

Also, find out what commercial and government payors are looking for in the provider’s documentation and the complications of using an EMR to select your evaluation and management codes. Proper documentation and the assignment of an E/M level can be complicated, but Cathy will break down the components of this category of codes in this session to simplify the work.

Session Highlights:

  • Evaluation and management codes and how they relate to the documentation guidelines
  • Should I use the 1995 or 1997 Documentation Guidelines or could I use both?
  • Can my EMR just select my codes for me?
  • The basics of the 1995 Documentation Guidelines
  • Selecting a level of medical decision making for internal medicine

Session Snapshots:

  • Medical necessity - Choosing the level that is most appropriate
  • Date of service Non-Physician Work Scribing Palmetto Noridian Signature
  • CMS E/M services guide
  • Key elements
  • Chief complaint
  • History of present illness (HPI)
  • Review of systems
  • Past medical, family & social histories
  • Physical exam (1995, 1997) – Documentation guidelines
  • Medical decision making (MDM)
  • Data ordered and/or reviewed
  • Clinical examples
  • Time based E/M coding
  • How to handle audit requests

Who should attend

This event is aimed at the specialty of internal medicine. Providers, practice managers, and coders would benefit from attending.

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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About Our Speaker

Cathy Jennings - AHIMA Approved ICD-10 Trainer

Cathy Jennings, BS, CPC, CPC-I, CEDC, CHONC, AHIMA Approved ICD-10 Trainer, joined MRS with more than 20 years of experience in healthcare. Prior to joining MRS, she was the Manager of Coding Education and Staff Development for a company that served both facility and physician organizations coast-to-coast. Over the years she has worked with a multitude of hospitals and physician groups allowing her to identify best practices and...   More Info
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