Package Description

ENROLL NOW

NON-MEMBERS $149 Per Person • MEMBERS $129 Per Person

This E/M Online Self-Study is intended for qualified healthcare practitioners, medical billers, medical coders, auditors, office managers and IT professionals involved with authoring clinical documentation, generating E&M progress notes, reporting Evaluation and Management (E&M) service claims, and auditing clinical documentation related to E&M services. 

The primary focus of this online self-study will emphasize documentation guidelines set forth by CMS for reporting Evaluation and Management services (E&M), as defined by CPT. The changes that took effect January 2022 will be a central focus of the training.

The curriculum will provide attendees with a strong grasp of Evaluation and Management services with proper emphasis placed on coding documentation and auditing principles. The curriculum has been designed to assist in development and mastery of the necessary skill set to successfully report and review documentation related to Evaluation and Management (E&M) services.

During the training, we will discuss the variances between outpatient and inpatient E&M services, the differences between problem-oriented and preventive services (e.g., IPPE, AWV and smoking cessation, etc.), new versus established patient definitions, the new terms introduced in 2022 CPT related to medical decision making and time and how to properly select the various ‘levels’ of E&M service. The conclusion of the program will focus on a minimum of 2 case studies (depending on allotted time) in an effort to accurately audit E&M cases in 2022 and beyond.

Curriculum specifics will include:

• The “Key Components” associated with E&M code selection
• The differences between the CPT and CMS E&M documentation guidelines
• Discuss the use of utilization benchmarks to target potential risk areas
• Explain the differences between the 1995 and 1997 examination guidelines
• Determining the complexity of medical decision making (MDM)
• The importance to ‘link’ ICD-10-CM codes to E&M services
• Risks associated with certain EHRs solutions (e.g, “wizards”)
• Distinguishing “problem-oriented” from “preventive” E&M services
• What to look for when modifiers are reported with E&M services (e.g., -25)
• How to use a well-constructed audit template to conduct reviews
• Key steps to present audit findings to providers successfully and non-confrontationally 

 Required Materials  

• 2022 CPT (AMA Professional Edition strongly encouraged)
• A printed copy of the CMS Evaluation & Management Services Guidelines

CEU– 4 CEUs approved by AAPC & ArchProCoding

CME – 4 (Continuing Medical Education) Credits for MD, DO, NP, PA, RN:

*This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the University of Nevada, Reno School of Medicine and Association for Rural & Community Health Professional Coding.  The University of Nevada, Reno School of Medicine is accredited by the ACCME to provide continuing medical education to physicians. The University of Nevada, Reno School of Medicine designates this live activity for a maximum of 11 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

4 CEUs AAPC/ArchPro