Higher Education

Evaluation and Management Coding Advisor, 1st Edition

  • Optum360
  • ISBN-10: 1601517386  |  ISBN-13: 9781601517388
  • © 2015 | Published
  • College Bookstore Wholesale Price = $123.45



Evaluation and Management (E/M) coding is notoriously difficult, mainly because coders have trouble accurately selecting a code from among a range of seemingly appropriate choices. Consequently, providers make more mistakes with E/M coding than coding for any other item or service. This new resource offers detailed and advanced guidance on selecting the appropriate E/M codes, with helpful resources designed for difficult E/M coding situations. Now, with ICD-10-CM implementation approaching, your E/M coding takes on even greater importance and we’ve devoted an entire new chapter to this vital E/M and ICD-10-CM relationship.

Features and Benefits

  • Getting the documentation needed for ICD-10-CM code assignment hinges on the quality and detail of E/M encounter data. Accommodating ICD-10-CM coding needs through an improved E/M coding process will minimize physician queries, and prevent delays in claims processing pending information and stop outright claims denials.
  • Updated “Bell Curve” data shows E/M code utilization by specialty. Also includes average charge and payment amount for E/M services, by specialty.
  • Review of the E/M rules and protocols.
  • Helpful advice designed for difficult E/M coding situations. Well-patient exams, H1N1 flu, and other common, but problematic coding scenarios are explained.
  • E/M template examples for EMRs. Ensure accurate code selection and avoid over-coding with guidelines for using templates.
  • Targeted areas. Review what auditors are targeting, such as critical care.
  • Compiles payer and specialty association guidance on /EM coding issues.
  • Documentation guidance. Review key factors for proper E/M code selection, plus advice to help clinicians make an objective review of subjective information.