Baptist Health Medical Group: Evaluation and Management Provider Onboarding Documentation Course

This course provides Baptist Health Medical Group practitioners with requirements for accurate Evaluation and Management (E&M) documentation and coding to meet requirements and adhere to CMS guidance. Completion of all three modules is required, with a passing score of 75% or higher. This course is an onboarding requirement for Baptist Health Medical Group healthcare providers. 

Target Audience

Baptist Health Medical Group Physicians, Nurse Practitioners, Physician Assistants, and Athletic Trainers.

Learning Objectives

  • Accurately identify the required documentation for the CMS determined key components and contributing factors that support the E&M level for patient visits in both the outpatient and inpatient setting. 
  • Implement strategies discussed to achieve organizational accuracy rate standard for E&M coding. 

Module 1
Patient History 

  • Implement elements of documentation of patient history as it pertains to CMS requirements.

Module 2
Documenting Your Examination

  • Distinguish the differences between 1995 and 1997 examination CMS guidelines, and the documentation requirements.

Module 3
Medical Decision Making (MDM) & Contributing Factors to Documentation

  • Adhere to the requirements and documentation guidelines for Medical Decision Making element of the CMS Guidelines. 
  • Recognize the impact 2021 CMS Guidelines changes will have to documentation practices. 
Additional information
Bibliography: 
Course summary
Available credit: 
  • 3.00 AMA PRA Category 1 Credit™
  • 3.00 Florida Board of Athletic Training
  • 3.00 General certificate of attendance
Course opens: 
04/01/2020
Course expires: 
03/31/2023

Course Outline  

  • Rules to Quality Documentation
  • Importance of Evaluation and Management (E&M) Codes
  • Key Components of E&M Codes
    • History
    • Examination
    • Medical Decision Making
  • Contributing Factors
  • Selecting your E&M Code
  • Documentation Tips

Tyling M. Batista, BSHA, CPC, CPCO, CPMA, CEMC
Manager, Documentation and Coding Improvement
Physician Practice Coding Education
Baptist Health Medical Group
Baptist Health South Florida

Due to the non-clinical nature of the content discussed, the speakers have no relevant financial relationships to disclose. This CME activity will not cover content that would involve products or services of commercial interests. Therefore, no opportunity exists for a conflict of interest based on the financial relationships of faculty and those persons in control of content. Since these relationships are not relevant, no disclosure information was collected. 

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 3.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 3.00 AMA PRA Category 1 Credit™
  • 3.00 Florida Board of Athletic Training
  • 3.00 General certificate of attendance
Please login or register to take this course.

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