Evaluation and Management Coding Reference Guide - eBook - First Edition

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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
ISBN 9781646310005
Publication Date 30-Jun-20
Language of Text English
Author AAPC
Editor AAPC
Publisher AAPC
Country/Region of Origin USA

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