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Understanding the Semantics of EM Services

Presenter Jill M Young, CPC, CEDC, CIMC
Broadcast Date 7/18/2018
Time 10:00am PT / 11:00am MT / 12:00pm CT / 1:00pm ET
Presentation Length 60 minutes
Price $49 (Non-members:$69)
Understanding the Semantics of EM Services Webinar

Learn more about this event

The overarching criterion for Evaluation and Management services is medical necessity. Documentation by the provider must be sufficient to show the necessity for the service and support the level of service that is billed. When looking at the Medical Decision Making (MDM) section of both the 1995 and 1997 E&M guidelines, there are specific words that carry enormous weight meeting the requirements for E&M code selection. What these words are and how you can work with your provider to achieve documentation that passes any audit is the goal of this lecture. Documentation of severity of the patient’s illness helps to show the patients may be improving they are still quite sick and will help justify the level (or higher level) of coding. The table of risk is not a one size fits all document, crucial words are needed to show the complexity of the patient the provider is working with. Lastly, the role of diagnoses and management options also has an important role in this process. It may be just words, but some words have more "value" than others.

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