Although evaluation and management codes are included in the majority of encounters billed, E/M coding remains one of the most difficult areas for coders, as they feel challenging to determine the appropriate level of E/M service. This course will provide working knowledge of CPT guidelines, leveling the service with History, Exam, Medical Decision Making, E/M modifiers, regulations, and 1995/1997 documentation guidelines, whether you are an experienced coder or new to the industry. Medical record documentation principles apply to all types of medical and surgical services in all settings. While the nature and amount of physician work required for E/M services vary, these general principles help ensure that medical record documentation for all E/M services is appropriate. The medical record should be completely maintained and must be legible. In order to receive Medicare payment for E/M services, the Medicare benefit for the relevant type of provider must allow him or her to bill for E/M services. The services must also be within the scope of practice for the applicable type of provider in the state where they are provided. To bill Medicare for an Evaluation Management service, you have to choose a Current Procedural Terminology (CPT) code that best represents Patient classification, Service Settings, Level of E/M service provided.

Type of Patient: Patients are classified as either new or established for the purposes of billing for E/M services depending on previous interactions with the provider

New Patient: A new patient is someone who has never received professional services from a physician or a non-physician, practitioner (NPP) or another physician of the same specialty who works in the same group practice within the same organization the previous three years.

Established Patient: A person who receives professional services from a physician/NPP or other provider within previous three years and that specialty physician must be a member of the same group practice.

Service Settings

E/M services are classified into various settings based on where they are provided. Few of settings include: an office or other outpatient setting; a hospital inpatient setting; an emergency department; and a nursing facility. The code sets used to bill for E/M services are classified and leveled. In general, the higher the level of code you can bill within the appropriate category, the more complex the visit. To bill any code, the services provided must meet the code’s definition. You must ensure that the codes chosen accurately reflect the services provided. History, examination, and medical decision making are the three most important factors in determining the appropriate level of E/M services provided. Visits that are primarily focused on counseling and/or care coordination are permitted.

Erendiz Academy and Certified Evaluation and Management Coder course

The Certified Evaluation and Management Coder exam was developed and introduced to healthcare industry, aiming to produce top-class Certified Evaluation and Management specialist coders who are much needed for E/M projects, this credential raises the industry coders benchmark and helps clients to confidently run such projects smoothly. Any coder with good coding knowledge and sufficient working experience in E/M are encouraged to take up this course, complete training from us and sit for the CEMC exam.

This evaluation and management training will break down E/M leveling into easy steps; it will cover examples of E/M services in multiple locations and evaluate the differences and the impact of the 1995 and 1997 guidelines. It shows specialty-specific documentation for E/M in multiple specialties – including Family Practice/Internal Medicine, Pediatrics, OB/Gyn, Emergency Department, Cardiovascular, and orthopedics. Erendiz Academy being the best institute for CEMC online and classroom training in Hyderabad and PAN INDIA aims to provide you healthcare industry top-class training to clear rigorous CEMC certification examination with very high score percentages. Our goal is to produce top quality coders to healthcare industry. Our trainers are subject matter experts having real working and teaching experience who will deliver theoretical and practical training to medical coders. Our training model will enable medical coders be ready for jobs immediately after training. Our program includes a comprehensive curriculum, tasks, and preparation for the CEMC exam via a number of sample exams. Our approach has demonstrated effectiveness in passing certification exams.

Obtaining a CEMC credential indicates that you can:

• The three key components with emphasis on MDM and other subjective aspects of the Documentation Guidelines
• Rules and regulations of Medicare billing including (but not limited to) incident to, teaching situations, shared visits, consultations, and global surgery
• Coding per NCCI, ICD-10-CM, CPT^®, and Modifiers
• Evaluation and Management coding based on the 1995 and 1997 Documentation Guidelines and CPT^® (Note: The examinee will be required to determine which set of guidelines apply based on the case note provided.)
• Time-based coding
• Risk assessment, including (but not limited to) the ability to benchmark, identity problematic situations and missed billing opportunities
• Medical terminology, Anatomy and physiology
  
  

Mode of Training

• Online
• Classroom