Evaluation and Management (E/M) coding is notoriously difficult, mainly because coders have trouble accurately selecting a code from among a range of seemingly appropriate choices. Consequently, providers make more mistakes with E/M coding than coding for any other item or service. This new resource offers detailed and advanced guidance on selecting the appropriate E/M codes, with helpful resources designed for difficult E/M coding situations.
Features and benefits
- Review of the E/M rules and protocols.
- Helpful advice designed for difficult E/M coding situations such as well-patient exams, H1N1 flu, and other common, but problematic coding scenarios.
- E/M template examples for EMRs promote accurate code selection with guidelines for using templates to avoid over-coding.
- Review what auditors are targeting, such as critical care.
- Compiles payer and specialty association guidance on E/M coding issues.
- Documentation guidance and key factors for proper E/M code selection, plus advice to help clinicians make an objective review of subjective information.
- E/M code selection benchmarking tool with “Bell Curve” data that shows the range of code selection by specialty.
Government and commercial auditors are increasingly looking for overpayments made to providers for coding errors. Unfortunately, E/M services are the most common type of service--and the most likely to have coding errors. This manual provides advanced guidance on E/M coding--especially for problematic E/M coding situations. Interpretation of the CMS E/M coding guidelines varies due to the differences in documentation styles and terminology.