AUDITING EVALUATION AND MANAGEMENT (E/M) NOTES:
AUDITING EVALUATION AND MANAGEMENT (E/M) NOTES:
A REVIEW OF THE BASICS
AND AN IN-DEPTH REVIEW OF CERTAIN ADVANCED TOPICS
Taught by Nancy G. Higgins, CPC, CPC-I, CIRCC, CPMA, CEMC
7:30 – 8:00 Registration and sign-in
Morning session: Review of the Basics and Intro to Advanced Topics
8:00 – 10:00 Three key elements:
History
Exam
Complexity of medical decision-making
10:00 – 10:15 Break
10:15 – noon Determining the code based on the three key elements
Introduction to more advanced topics
Criteria for and examples of coding based on time
Noon – 1:00 Lunch on your own
Afternoon session: Advanced Topics
1:00 – 2:00 Working with non-physician practitioners: Incident to and shared/split
visits, when each concept applies, and documentation required to
support these services
Teaching physician documentation: Documentation requirements for
attending physicians working with residents – Medicare patients versus
non-Medicare patients
2:00 – 2:30 Modifiers used with E/M codes – when is it appropriate to use a
modifier and which modifier should be used?
Modifier 24
Modifier 25
Modifier 57
2:30 – 2:45 Break
2:45 – 4:00 Auditing practice with provider documentation
Conclusion
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