The New Face of Evaluation and Management: A Guide to Calculating E/M CPT Codes through Best Practice Documentation [Hardcover]

Acknowledgements. About the Author. Introduction. Chapter 1:? 2021 Documentation/Coding Guidelines. Chapter 2: Other Office/Outpatient E/M Services. Chapter 3:? Inpatient/Observation E/M. Chapter 4:? Emergency Department E/M Services. Chapter 5:? Nursing Facility Evaluation & Management. Chapter 6:? Residence/Home Evaluation & Management Services. Chapter 7:? Behavior Health Documentation. Chapter 8:? Critical Care Services. Chapter 9:? Global Services. Chapter 10:? Shared Evaluation & Management Services. Chapter 11:? Telehealth Services. Chapter 12:? Documentation. Chapter 13:? Q&A. Chapter 14:? Coding Cards. Chapter 15: HCCs  Hierarchical Condition Categories.?

This book evaluates the new guidelines and brings them into prospective so physicians/providers/coders can easily understand how to document and calculate the level of service for reimbursement.

Physicians want to care for patients, not spend their time documenting in an electronic medical record.  Physicians are always complaining about the amount of time they spend documenting patient care in support of medical billing through an evaluation and management coding system (E/M). New guidelines were created to lessen the time a physician/provider spends on documentation as many of the mandatory elements are no longer a requirement for calculating a code level. Previously an E/M (evaluation and management) note required documentation of history, exam, and medical decision-making with required elements in each component to support a level for payment. If an element was missing, the level of service was not supported; therefore, the code was lowel³Ò