Course Code: REL-RCC-AMA-EMCAT
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2028
Learning Objectives:
Identify categories of Evaluation and Management (E/M) services.
Locate the instructions and guidelines for the E/M categories and subcategories.
Recall the requirements for the various categories of E/M services.
Distinguish different E/M categories and subcategories of service.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Overview
E/M Services Categories
Place of Service
Nature or Type of Service
Levels of Service
Evaluation and Management Services Guidelines
General vs. Category Specific Guidelines
Introductory Guidelines
Separate Services and Modifier 25
Review
Summary
Section 3: Office and Outpatient Services
Office or Other Outpatient E/M Services
Overview
New vs. Established Patients
Consultations
Definition and Appropriate Use
Interprofessional Consultations
Preventive Medicine Services
Types of Preventive E/M Codes
When to Report a Problem-Oriented Visit
Emergency Department Services
ED Definition and Key Features
Levels of MDM in ED Services
Critical Care Services
Definition
Bundled Services
Time-Based Critical Care
Pediatric and Neonatal Critical Care
Additional Bundled Services
Review
Summary
Section 4: Hospital and Facility Services
Inpatient, Observation, and Other Facility Services
Initial Service
Subsequent Service
Principal Physician
Observation Services
Newborn Services
Hospital Inpatient and Observation Services
Hospital Inpatient or Observation Care Services (initial 99221-99223, subsequent 99231-99233)
Hospital Inpatient or Observation Care Services Including Admission and Discharge (99234-99236)
Inpatient or Observation Consultations (99252-99255)
Important Note
Nursing Facility Services
Initial, Subsequent, and Discharge Care
Multiple Morbidities Requiring Intensive Management
Home or Residence Services
Care Settings Defined
Coding by MDM or Time
Care Management Services
Care Management Services
Psychiatric Collaborative Care
Transitional Care
Behavioral Health Integration
Review
Summary
Section 5: Other E/M Services
Prolonged Services
Prolonged Services Time Range Reporting
Clinical Staff Supervision Codes
Non-Face-to-Face Services
Types
Telemedicine Services
Online Digital E/M Services
Modifiers and Appendices
Review
Summary
Section 6: Conclusion
Course Summary
Course Information
Course Contributors
Resources
References
Writer: Sarah A. Serling, CCS, CPC, COC, CRC, CCS-P, CEMC, CPC-I, ICD-10-CM/PCS Trainer
Sarah is a Subject Matter Expert/Writer for Relias's Revenue Cycle and Coding online education. Sarah is credentialed by AHIMA as a Certified Coding Specialist (CCS) and Certified Coding Specialist Physician-based (CCS-P), as well as an approved ICD-10-CM/PCS Trainer. She is also credentialed by AAPC as a Certified Professional Coding Instructor (CPC-I), a certified professional coder (CPC), a certified outpatient hospital coder (COC), and a Certified Risk Adjustment Coder (CRC), with specialty certification in Evaluation and Management Services (CEMC). Sarah extensive experience in both professional and facility ICD-10-CM/PCS, CPT, and HCPCS coding, education, auditing, and revenue cycle management. She has clinical experience as an Emergency Medical Technician (EMT) and Medical Assistant (MA) and has served as Director of Physician Billing and Reimbursement for a regional health system, Manager of Coding and Compliance for a hospital and cancer center, and Business Manager of Physician Practices at a teaching hospital, as well as a coding auditor and consultant. Sarah has also authored several coding textbooks, and other instructional resources.
Reviewer: Ronntriesse Cope-Prevatt, CPC, CRC
Ronntriesse Cope-Prevatt, CPC, CRC
Ronnie is a certified coder with over ten years of experience in profee coding, billing, and auditing. She also has a strong background in HCCs, patient administration, working claims edits, and denials management. Ronnie's coding expertise is in the areas of Orthopedics, Neurology, Pain Management, Interventional Cardiology, Gynecology, Urology, General Surgery, Gastroenterology, and Primary Care.
Target Audience:
The target audience for this course is: Healthcare Billing and Coding; in the following settings: Hospitals: Acute.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
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All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.