Ignite Your E/M Coding


*agenda subject to change

7:15AM - 8:00AM

Check-in and Breakfast (provided)

8:00AM - 10:00AM

Risk Areas for Evaluation and Management

  • Understand the Various Entities Involved
  • Medical Necessity
  • Clinical Documentation Improvement
  • Risks of Using an Electronic Health Record (EHR)

Evaluation and Management Coding and Documentation 

  • Overview of E/M Codes
  • Levels of E/M Codes
    • Documentation Dos and Don’ts for History
    • History
    • Documentation Dos and Don’ts for Exam
    • Examination
    • Documentation Dos and Don’ts for Medical Decision Making
    • Medical Decision Making
  • Documentation Requirements/Choosing the Correct Code
  • Using Time to Select a Code

10:00AM - 10:15AM


10:15AM - 12:00PM

Evaluation and Management Coding and Documentation (continued)

  • Consultation Coding NEW!
    • When to bill consultation instead of other E/M codes
    • The “Three Rs” of consultations
  • E/M Audit Tools
    • Sample audit tools from payors NEW!
    • Learning to use an audit tool

E/M Modifiers

  • Modifiers 24, 25, and 57

Cerumen Removal on the same day as an E/M Service

  • Examples of when cerumen removal and E/M is appropriate

Diagnostic Endoscopies on the Same Day as an E/M Service NEW!

  • 31231 – Diagnostic nasal endoscopy
  • 31575 – Diagnostic laryngoscopy
  • 92511 – Nasopharyngoscopy with endoscope

CMS Guidelines: Non-Physician Provider (Advanced Practitioner) Billing

Audit Strategies

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Coding Coaches