Auditing Evaluation and Management (E/M) Notes

AUDITING EVALUATION AND MANAGEMENT (E/M) NOTES:

A REVIEW OF THE BASICS

AND AN IN-DEPTH REVIEW OF CERTAIN ADVANCED TOPICS

Taught by Nancy G. Higgins, CPC, CPC-I, CIRCC, CPMA, CEMC

7:30 – 8:00 Registration and sign-in

Morning session: Review of the Basics and Intro to Advanced Topics

8:00 – 10:00 Three key elements:

History

Exam

Complexity of medical decision-making

10:00 – 10:15 Break

10:15 – noon Determining the code based on the three key elements

Introduction to more advanced topics

Criteria for and examples of coding based on time

Noon – 1:00 Lunch on your own

Afternoon session: Advanced Topics

1:00 – 2:00 Working with non-physician practitioners: Incident to and shared/split

visits, when each concept applies, and documentation required to

support these services

Teaching physician documentation: Documentation requirements for

attending physicians working with residents – Medicare patients versus

non-Medicare patients

2:00 – 2:30 Modifiers used with E/M codes – when is it appropriate to use a

modifier and which modifier should be used?

Modifier 24

Modifier 25

Modifier 57

2:30 – 2:45 Break

2:45 – 4:00 Auditing practice with provider documentation

Conclusion