Evaluation & Management Coding Advisor 2014

Evaluation & Management Coding Advisor 2014
Author: Optum
Publisher:
Total Pages: 0
Release: 2014-02
Genre:
ISBN: 9781601517371

Evaluation and Management (E/M) coding is notoriously difficult, mainly because coders have trouble accurately selecting a code from among a range of seemingly appropriate choices. Consequently, providers make more mistakes with E/M coding than coding for any other item or service. This new resource offers detailed and advanced guidance on selecting the appropriate E/M codes, with helpful resources designed for difficult E/M coding situations. Features and benefits Updated "Bell Curve" data shows E/M code utilization by specialty. Also includes average charge and payment amount for E/M services, by specialty. Review of the E/M rules and protocols. Helpful advice. Includes insights into difficult E/M coding situations such as well-patient exams, H1N1 flu, and other common, but problematic, coding scenarios. Updated E/M template examples for EMRs. Accurate code selection with guidelines for using templates help you to avoid over-coding and explain how they relates to Meaningful Use. Target areas. Review what auditors are targeting, such as critical care. Compiles payer and specialty association guidance on E/M coding issues. Documentation guidance. Review key factors for proper E/M code selection, plus advice to help clinicians make an objective review of subjective information.

Evaluation and Management Coding Reference Guide - First Edition

Evaluation and Management Coding Reference Guide - First Edition
Author: AAPC
Publisher: AAPC
Total Pages: 14
Release: 2020-06-30
Genre: Medical
ISBN: 162688983X

Defeat the challenges that threaten your E/M claims and compliance success. Evaluation and management (E/M) services are the lifeblood of your revenue stream, and yet they’re the most problematic to report. Claim denials remain high. E/M coding errors, in fact, rose from 11.9% in 2018 to account for 12.8% of CMS’s overall 2019 improper payment rate. How much E/M revenue are you losing? Safeguard your organization from claim denials and audit scrutiny with the Evaluation & Management Coding Reference Guide. Our experts break down E/M coding rules and requirements into simple, manageable steps written in everyday language to boost your E/M reporting skills. Learn how to capture the key components of medical history, physical exam, and medical decision-making—and capitalize on real-world clinical scenarios to prevent over- or under-coding. The Evaluation & Management Coding Reference Guide will help you prep for 2021 E/M guideline changes overhauling new and established office and outpatient services, and walk you through online digital E/M services, remote physiologic monitoring, and more. Master the ins and outs of E/M coding—CPT® guidelines, level of service, modifiers, regulations, and documentation guidelines. Put an end to avoidable denials and optimize your E/M claims for full and prompt reimbursement. Benefit from expert tutorials covering the spectrum of E/M reporting concepts and challenges: Prep for 2021 guideline changes and their impact on your organization Master the ins and outs of E/M guidelines in CPT® Capture the seven components of E/M services Sort out medical decision-making coding Avoid the pitfalls of time-based coding Nail down specifics for critical care E/M services Clear up modifier confusion Understand NPPs rules for same-day E/M services Take the guesswork out of complexity determinations Get the details on coding surgery and E/M together Learn the principles of E/M documentation

Practical Evaluation and Management Coding

Practical Evaluation and Management Coding
Author: Christopher L. Taylor
Publisher: Springer Science & Business Media
Total Pages: 128
Release: 2008-03-14
Genre: Medical
ISBN: 1597453145

This guide explains the Evaluation and Management (E/M) coding process used by physicians and regulated by the American Medical Association. In four chapters, Dr. Christopher Taylor establishes a step-by-step approach to determining the correct CPT code for the most common patient encounters in the office, hospital, or nursing home. Helpful appendices provide E/M coding guide, templates, and additional information.