Evaluation & Management Boot Camp - Professional Version
Course Outline
The agenda outlined below is based on a two–day program, however, course length and content can be customized to meet the specific needs or your organization.
Module 1 – Introduction to CPT E/M Categories
- New vs. Established Patients
- Office or Other Outpatient Services
- Consultations
- Office or Other Outpatient Consultations
- Inpatient Consultations
- Updated FY 2010, Medicare guidance
- Hospital Inpatient Services
- Initial Hospital Care
- Subsequent Hospital Care
- Hospital Discharge Day Management
- Observation or Inpatient Services (admission and discharge on same date)
- Hospital Observation Services
- Initial Observation Care
- Observation Care Discharge Services
- Time Based Codes
- Critical Care Services
- Bundled services
- Time calculation
- Separately reportable procedures
- Prolonged Services
- Age–Based Codes
- Preventive Medicine Services
- Inpatient Neonatal and Pediatric
- Critical Care Services
- Initial and Continuing Intensive Care Services
- Newborn Care Services
- Emergency Department Services
- Nursing Facility Services
- Exercises/Case studies
Module 2 – Evaluation and Management Associated Modifiers
- –24 (Unrelated Evaluation and Management Service by the Same Physician During a Postoperative Period)
- -25 (Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service)
- –32 (Mandated Services)
- –57 (Decision for Surgery)
- –Q6 (Locum tenens)
Module 3 – Assigning E/M levels based on Key Components & Time
- History
- Chief Complaint
- History of Present Illness
- 1995 vs. 1997 (difference)
- Review of Systems
- Past Personal/Family/Social History
- Examination
- 1995 (Organ system & body areas)
- 1997 (Exam types by "counting bullets")
- Medical decision making
- Number of Presenting Problems
- Data Ordered/Reviewed
- Table of Risk
- Counseling and Coordination of Care
- Exercises/Case studies
Module 4 – Teaching Physician of Residents & Students
- Physician at Teaching Hospital (PATH) Rules
- Attestation documentation requirements
- Time based codes
- Primary exception documentation requirements
- –GC modifier usage (Resident/teaching physician service)
- –GE modifier usage (Resident Primary Care Exception)
- Exercises/Case studies
Module 5 – Non Physician Practitioner (NPP) E/M Services
- 99211 Reporting
- Incident–to
- Split/Shared Visits
- Exercises/Case studies
Module 6 – Audit Strategies
- Current Comprehensive Error Rate Testing (CERT)
- Recovery Audit Contractor (RAC) – focus areas
- Data Mining
- E/M Bell Curve (CMS Benchmarking)
Module 7 – Sample Practice CEMC Exam Prep Questions
- Tips for taking the CEMC exam
Module 8 – Medical Terminology and Anatomy
- Medical terminology and anatomy quiz
- Common prefixes, suffixes and word roots
*Course content is subject to change based on new coding guidelines and course enhancements*
NOTE: Course content is subject to change based on new coding guidelines and course enhancements.
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