Coding and Documentation e-Learning Series

This course provides practitioners with a comprehensive overview of documentation and coding changes necessary to make immediate changes to E&M coding levels, in addition to the CMS changes and mandates for telemedicine services due to the current health crisis.

Target Audience

Baptist Health Medical Group, Baptist Health Quality Network, Fellows, Residents, Physician Assistants, Dentists, Athletic Trainers, Coding Professionals and all other interested healthcare providers.

Learning Objectives

  • 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. 
  • Adhere to the new CMS telemedicine guidance for service delivery, communication platforms, documentation expectations and coding requirements.
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: For any coding questions, please contact the Coding Education Team at one of the following email addresses:

E&M Coding Questions: BHMGEandMcoding@baptisthealth.net

Orthopedic Coding Questions: DG-BHMGOrthoCoding@baptisthealth.net

HCC Coding Questions: DG-BHMGHCCcoding@baptisthealth.net 

MCI E&M Coding Questions: DG-MCIEandMcoding@baptisthealth.net  

 

Coding Education Newsletters
December 2022 - Coding By Time
November 2022 - Final CMS Rule - Inpatient E&M Visits
November 2022 - Inpatient E&M Visits
November 2022 - Shared Inpatient Visits
March 2022 - Incident-to Visits
July 2021 - Post-Op Versus E&M Visits
July 2021 - Primary Care
May 2021 - Primary Care
December 2020 - PFS Changes - Telehealth
December 2020 - Provider CMS Final Rule Highlights
November 2020 - New 2021 TIME Guidelines
October 2020 - New 2021 E&M Changes
May 2020 - Medicare Telehealth Changes
April 2020 - Telemedicine
March 2020 - Orthopedic Documentation
December 2019 - New 2020 CPT Codes for Online Digital Services
November 2019 - CMS Changes to CY2020 and CY2021
October 2018 - Modifier 57
January 2018 - Consultation Coding
December 2017 - Home Health Certifications
October 2017 - Advanced Care Planning Services
July 2017 - The Facts About Transitional Care Management
June 2017 - Post-Operative Visits
May 2017 - Modifier 25
March 2017 - CMS Allows Prolonged Non-Face-to-Face E&M Codes
February 2017 - When Is An Established Patient... A New Patient?
January 2017 - Documenting HPI
November 2016 - Medical Decision-Making
October 2016 - How to Select your E&M Level
September 2016 - The Difference between Split Shared and Incident-to
September 2016 - Avoiding “Cloning” of your Documentation
August 2016 - Key Elements of E&M Service

Did You Know?

Blood Pressure Check
Coding For Heart Disease
Coding For Major Depression
Documenting the Status of Your Patient's Diagnosis
E&M Visits Immunization Administration
Modifier 57 vs 25
New Finalized CMS Changes
New Patient Office/Outpatient Consultation Visit
NPP in Assistant at Surgery
Orthopedic Coding Education
Signature Requirements for Injections
Teaching Physician Encounters Based on Time
Course Summary
Course opens: 
07/01/2024
Course expires: 
06/30/2027

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 4 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Preventive Codes & Transitional Care GuidelinesBaptist Health South Florida designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
Status
Price
Title
$0.00Included
Please login or register for a Baptist Health CME account to take this course.
$0.00Included
Please login or register for a Baptist Health CME account to take this course.
Please login or register for a Baptist Health CME account to take this course.

Enroll in Coding and Documentation e-Learning Series to UNLOCK access to all modules.

Required Hardware/Software

PC/Mac Users
PC/Mac Users

This site is supported on the most recent stable releases of the following browsers:

Click Here to Download Google Chrome
Google Chrome
Microsoft Edge
Microsoft Edge
Safari
Safari
Moxilla Firefox
Mozilla Firefox
Mobile Users
Mobile Users

This site is supported on the following mobile devices:

  • Apple iOS mobile devices running iOS 10 or later
  • Android mobile devices running Android 4.4 or later, with the latest release of Google Chrome or Mozilla Firefox
Technical Support
Technical Support

If you are experiencing technical difficulties or have received an error message, please send an email to CME@baptisthealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.