Evaluation and Management Services (E/M) Code Assignment and Validation

AAPC Medical Coding Course

Baker Newman Noyes (BNN) offers a course on evaluation and management (E/M) code assignment and validation.

Program Goals

To provide you with an understanding of:

  • Evaluation and management (E/M) code assignment
    • Understand the elements of an E/M code
    • Understand the rules of E/M services
  • Principles of medical record documentation requirements
    • Review documentation basics and formatting of chart notes
    • Review documentation guidelines
  • How to conduct a medical record chart review (audit)
    • Understand details for the medical record review process
    • Properly review the medical record using tools provided
    • Analyze and report results for reporting and education

Program Overview

  • Documentation principles/requirements
  • Overview/introduction to 1995 vs. 1997 E/M Guidelines
    • History, exam, medical decision making
  • Determining type of patient/type of service
  • Review of common modifiers
  • Hands on coding validation exercise with presentations
  • Review importance of an E/M validation process
  • Overview/Introduction to
    • Split/Shared E/M services
    • Incident to services
    • Teaching physician services
    • Scribe services
    • Etc.

Requirements:

  • Basic knowledge of E/M principles
  • Experience and knowledge of chart auditing or E/M coding recommended
  • Coding certification NOT necessary

Contact our healthcare advisory team directly to schedule this on demand training for your team.

BNN Events and publications are intended to provide general information to our clients and friends. It does not constitute accounting, tax, or legal advice; nor is it intended to convey a thorough treatment of the subject matter. The content included here is accurate as of the date it was published. Please contact Baker Newman Noyes for additional assistance.