E/M Part 1: Levels of Service
In this course, you will discover what constitutes a problem-oriented evaluation and management (E/M) service and how a level can be supported: either on medical decision making or time. The E/M guidelines covered in this course are applicable to ALL E/M services.
Objectives:
Lesson 1: Definitions related to E/M services
- Identify code categories and subcategories
- Define new and established patients and initial and subsequent services
- Name the two options for selecting an E/M level of service
Lesson 2: E/M Key Components
- Categorize problems as low, moderate, or high severity
- Apply the data criteria as defined in the guidelines
- Identify and select the level of risk of patient management
- Choose a level of service based on medical decision making
Lesson 3: Choosing E/M Levels of Service
- Pick a level of service based on total time
- Know when to apply a prolonged services code in addition the the E/M code
- Determine what supports the substantive portion of a shared service
CE Credits:
AHIMA
This program has been approved for 2 continuing education units for use in fulfilling the continued education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
- Domain: Data Structure, Content, and Information Governance
AAPC
This program has the prior approval of the American Academy for Professional Coders (AAPC) for 2 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
- Specialty CEUs:COC, CPC, CPC-P, CANPC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPMA, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC, CVBA, FMC, RCMS
Target Audience:
-
- Profee coders
- Billing Professionals
- Revenue Integrity Professionals
- Coding Compliance Professionals
- Students
E/M Part 2: Code Selection
This is the second course in the E/M based series. This course dives deeper into code selection and categories of codes, including guidelines that are specific to each subcategory. Time based services are discussed, as well as modifiers that are commonly used with E/M services.
Objectives:
Lesson 1: Closer look at categories of codes
- Select appropriate situations to use office or other outpatient services
- Assess when to use codes for patients admitted and discharged on the same date of service
- Choose the correct discharge day management code based on documentation
Lesson 2: Time based E/M services
- Choose prolonged services codes based on time and
- Name requirements to bill critical care
Lesson 3: Per day codes
- Determine when to use NICU critical care codes versus intensive care codes
Lesson 4: Modifiers used with E/M services
- Select appropriate circumstances to apply modifier 24
- Differentiate when to use modifier 25 vs. 57
CE Credits:
AHIMA
This program has been approved for 2 continuing education units for use in fulfilling the continued education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
- Domain: Data Structure, Content, and Information Governance
AAPC
This program has the prior approval of the American Academy for Professional Coders (AAPC) for 2 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
- Specialty CEUs: COC, CPC, CPC-P, CANPC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPMA, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC, CVBA, FMC, RCMS
Target Audience:
-
- Profee coders
- Billing Professionals
- Revenue Integrity Professionals
- Coding Compliance Professionals
- Students
E/M Part 3: Care Management and Other Services
In this course, we will look other categories of E/M codes including transitional care management, chronic care management, advance care planning, preventive medicine services and non-face-to-face E/M services.
Objectives:
Lesson 1: Care Management Services
- Select the components of transitional care management
- Choose the correct chronic care management codes
- Identify required elements to report advance care planning
- Demonstrate understanding of reporting for cognitive assessment and care planning services
Lesson 2: Planning, Assessment, and Intervention Services
- Determine when to use a preventive medicine services code
- Differentiate between Medicare’s wellness services
- Identify when to report both a problem-oriented visit and a preventive services
- Review different preventive medicine counseling codes
- Identify the codes used to report behavior change intervention services
Lesson 3: Preventive Services
- Assign codes for telephone services
- Identify codes used to report e-visits
- Determine the requirements for reporting remote physiological monitoring treatment management services
CE Credits:
AHIMA
This program has been approved for 2 continuing education units for use in fulfilling the continued education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
- Domain: Data Structure, Content, and Information Governance
AAPC
This program has the prior approval of the American Academy for Professional Coders (AAPC) for 2 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
- Specialty CEUs: COC, CPC, CPC-P, CANPC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPMA, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC, CVBA, FMC, RCMS
Target Audience:
-
- Profee coders
- Billing Professionals
- Revenue Integrity Professionals
- Coding Compliance Professionals
- Students
1076 reviews for Evaluation and Management (E/M) Series
good
Response from Haugen Consulting Group
CPT_EM02
It was very educative , I wish there was a summary or PowerPoint with important topics
Response from Haugen Consulting Group
CPT_EM03
It was very helpful when she highlighted in the OP report what to look for and what procedures would be bundled and what could be coded separately.
Response from Haugen Consulting Group
CPT_EM03
Course is to long.
Response from Haugen Consulting Group
CPT_EM03
excellent information and great refresher course
The slides and education on prolonged services was confusing considering there is no longer a time range but a “meet/exceed” requirement and the differing of CPT vs CMS calculations.
Excellent course! I especially liked your examples for modifier 25 and modifier 57. I appreciated the focus on differentiating adult vs neonatal/pediatric critical care.
The definitions, examples, and case studies were all excellent! I was really able to drill down my gaps in knowledge and skill with this course. Great work!
Very informative! Thank you!
I find this course is a very good refresher and very informative. It was presented in the best way to further one’s knowledge in E/M
I think this is a great resource to improve your knowledge of coding.
I liked the way the prolonged time was explained and illustrated, very helpful
very thorough
This course was full of great information and easy to follow. I feel more confident in my knowledge of the E/M services that were covered in this course!
This course was easy to follow and understand.
This course is VERY helpful
The speaker was great. The tone of voice and clarity was excellent.
I wish there was more discussion on split/shared. I really appreciated the in-depth explanations/definition for each category of MDM
I like your charts 🙂
Helpful info for my job.
Love the puppies!!!
Very informative
Very informative!