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Understanding E/M and the New Guideline Changes
- Defining the elements of history, examination, and medical decision making in an E/M visit
- Taking the elements of documentation to assign the appropriate level of service for a visit
- Compare the 1995 and 1997 guidelines to determine which works best for a particular visit
- Choosing an E/M visit based on time
- Current status of the consultation visits and when they should be used
- 6 new CPT code additions to E/M for 2019 that the audience can find out how they are to be used and if they apply to services being performed by providers in their office
- The CMS 2019 final Rule made significant coding, documentation requirement changes
- AMA’s March announcement on E/M guidelines changes planned for 2021
Overview of the webinar
This session will go through the basics of auditing a medical record for evaluation and management services for any provider speciality. This will include choosing the level of service utilizing an auditing tool for history, exam, and medical decision making. We will review the changes made to the documentation requirements for E/M services in 2019 so that attendees understand the rationale behind the changes and will be able to apply them to their offices' policies, procedures and workflows.
Who should attend?
- Biller
- Coder Physician
- Assistant
- Advanced Practice Nurse
- Scribe Transcriptionist
- Auditor
- Compliance Officer
Why should you attend?
There have been changes made the documentation requirements for office visits for 2019, but many are unsure about how to apply the guidelines that have been in place for many years. This webinar takes a complete look at the 3 elements of any evaluation and management (E/M) service, history, examination, and medical decision making and what are the required documentation criteria for each, as well as apply the concepts of obtaining the level of service documented. If this information is used in assigning the level of service for an E/M visit, the medical record should be able to pass an audit.
Faculty - Ms.Lynn Anderanin
Senior Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She is a former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served on several other boards for the AAPC. She is also the founder of her local chapter of the AAPC. Her experience is primarily in the specialties of Orthopedics, Rheumatology, and Hematology/Oncology. She has been a speaker for many conferences, including the AAPC National Conferences and Workshops, Community Colleges, audio conferences, and Local Chapters. Lynn became a CPC in 1993, and a Certified Instructor in 2002, and a Certified Orthopedic Surgery Coder in 2009.