Course Code: REL-RCC-AMA-EMMDM
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2028
Learning Objectives:
Recall the terms and definitions used to describe the medical decision-making (MDM) component of Evaluation and Management (E/M) services.
Identify the different elements, associated criteria, and descriptions of medical decision making for Evaluation and Management services.
Apply medical decision making guidelines in selecting the MDM level for E/M visits.
Describe the various levels of complexity of medical decision making, the elements that define each level, and the types of problems involved at each level.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Overview
Evaluation and Management Services
Medical Decision Making
Types of Medical Decision Making
Review
Summary
Section 3: Medical Decision Making Guidelines and Definitions
MDM Element: Number and Complexity of Problems Addressed
Documenting Problems and Management Options
MDM Element: Amount and Complexity of Data to Be Reviewed and Analyzed
Documenting Data Review
MDM Element: Risk of Complications and/or Morbidity or Mortality of Patient Management
Documenting Risk
Levels of MDM Criteria
Review
Summary
Section 4: Determining the Level of MDM
Determine the Extent of MDM
Coding Application: Selecting the Level of MDM
Summary
Section 5: Conclusion
Course Summary
Course Contributor
Resources
References
Exam and BrainSparks
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.
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.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.