JustCoding's E/M Essentials Toolkit

Medicare and other payers hold physicians responsible for correct billing and medical documentation. Evaluation and management (E/M) codes are the most frequently reported and, unfortunately, also the most audited for physician practices. JustCoding's E/M Essentials Toolkit is the essential resource for every physician practice, perfect for educating coders and billers as well as physicians themselves. The toolkit, written by HCPro regulatory specialist Peggy S. Blue, MPH, CPC, CCS-P, CEMC, provides the core pieces for E/M coding education, simplifying Medicare guidelines, providing updates on the latest changes, and giving healthcare professionals the tools they need to help ensure accurate reimbursement. This toolkit includes five E/M coding pocket guides, an E/M coding resource compendium, an E/M reference guide to the latest changes and developments, and a downloadable E/M audit tool sheet. Table of Contents

Introduction

Importance of E/M coding

1995 versus 1997 guidelines

How to use this guide

Section 1: E/M Code Quick Reference

New-patient office visits (codes 99201 99205)

Established-patient office visits (codes 99211 99215)

Consultation office visits (codes 99241 99245)

Section 2: E/M Code Components

History

Exam

Medical decision-making

Time-based billing Who should read this book?

Coders, Billers, Physician practice office managers, Practice administrators, Physicians, Physicians assistants/non-physician practitioners