Mastering E/M Guidelines: A Deep Dive into Effective Documentation for Healthcare Professionals

One thing is certain in healthcare, there is always change. The overhaul of E/M guidelines in 2021 and 2023 continue to challenge our providers in capturing compliant documentation based on these new requirements. This webinar dives deep into the criteria necessary for effective documentation for both medical decision-making and time in the office and outpatient settings.

This webinar hopes to deliver impactful insights and strategies necessary to meet the elements required, keeping in mind the payor perspective. Don't miss this opportunity to advance your skills, enhance your compliance knowledge, and stay up to date with the latest industry standards. Whether you are new to the field or come with experience, this webinar is designed to empower you with the knowledge and confidence to assist practitioners in navigating the nuances of essential and effective documentation.

Learning Objectives/Agenda

• How to document what is clinically relevant and important for medically appropriate history and physical examination
• How to document problems addressed today
• How to document data analyzed today
• How to document critical thinking in risk to the patient, risk in patient management today
• How to document time today
• How to avoid rolling out the red carpet to risk today, and always

Why is this topic important?

Post-payment audits have started for E/M services based on 2021 office and outpatient guidelines. Documentation deficiencies have been identified by payor auditors with recoupments starting up. Proactive education on developing compliant and effective documentation based on these new E/M guidelines is critical to ensure reimbursement is appropriate the first time.

Who would benefit from this topic?

• Medical Coders
• Medical Auditors
• Clinical documentation integrity specialists
• Physicians / APPs
• Compliance professionals

What’s the presenter's background/expertise on this topic?

Sonal has over 13 years of experience understanding the art of business medicine. She is a nationally recognized thought-leader, speaker, author, creator, and consultant. As the CEO & Principal Strategist of SP Collaborative, LLC, she serves as a partner to healthcare organizations, medical practices, physicians, healthcare providers, vendors, consultants, medical coders, auditors and compliance professionals in working together to elevate coding compliance education for the business of medicine.

You rated this event: