BHMG Provider E&M Education

This course provides BHMG physicians with a comprehensive overview of documentation and coding changes necessary to make immediate changes to E&M coding levels. 

Target Audience

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

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. 
Additional information
Bibliography: 

CMS Documentation Guideline reference- CMS Guidelines for History, Exam and MDM, including Time and Counseling Department of Health and Human Services, Centers for Medicare and Medicaid Services, Evaluation and Management Services, August 2015 https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/eval-mgmt-serv-guide-ICN006764.pdf

Department of Health and Human Services, Centers for Medicare and Medicaid Services, 1995 Documentation Guidelines For Evaluation and Management Services https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnedwebguide/downloads/95docguidelines.pdf

Department of Health and Human Services, Centers for Medicare and Medicaid Services, 1997 Documentation Guidelines For Evaluation and Management Services https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnedwebguide/downloads/97docguidelines.pdf

Department of Health and Human Services, Centers for Medicare and Medicaid Services, Transitional Care Management Services, March 2016             

Department of Health and Human Services, Centers for Medicare and Medicaid Services, CMS Manual System, PUB 100-04 Medicare Claims Processing, May 14, 2014 https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Transitional-Care-Management-Services-Fact-Sheet-ICN908628.pdf

Department of Health and Human Services, Centers for Medicare and Medicaid Services, CMS Manual System, PUB 100-04 Medicare Claims Processing, August 26, 2011 https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/r178cp.pdf https://medicare.fcso.com/FAQs/Answers/157200.asp

Department of Health and Human Services, Centers for Medicare and Medicaid Services, Medicare Claims Processing Manual, Chapter 12- Physicians/Non-physician Practitioners, Rev. 3476, March 11, 2016 https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R2282CP.pdf https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c12.pdf

Resources: 

Baptist Health Employee Resource

For any E&M coding related questions, contact Baptist Health Medical Group E&M Coding and Education Team. 

Tyling M. Batista, CPC, CPMA, CEMC

Manager, Documentation and Coding Improvement

Phone:786-595-1162

Email: tylingb@baptisthealth.net

Course summary
Course opens: 
07/01/2016
Course expires: 
06/01/2020

Tyling M. Batista, CPC, CPMA, CEMC
Manager, Documentation and Coding Improvement
BHMG E&M Coding and Education Team

Tyling M. Batista, CPC, CPMA, CEMC, indicated that neither she nor her spouse/partner have relevant financial relationships with commercial interest companies, and she will not include off-label or unapproved product usage in her presentations or discussions.

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose. 

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.
            

CMS Principles of Documentation Guidelines

 Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Chief Compliant and History Documentation for New and Established Patients

           
Baptist Health South Florida designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Physical Examination Documentation for your Specialty

           
Baptist Health South Florida designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Medical Decision Making - One of the Major Key Components of E&M Coding

           
Baptist Health South Florida designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Time and Counseling/Coordination of Care Component

           
Baptist Health South Florida designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Review of E/M CPT Codes (Inpatient/Outpatient) and their Documentation requirements

           
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Teaching Physician Documentation Guidelines 

           
Baptist Health South Florida designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Using a Scibe for Documentation

           
Baptist Health South Florida designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Split Share Documentation

           
Baptist Health South Florida designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

Accreditation Period

Course opens: 
07/01/2016
Course expires: 
06/01/2020
 
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