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Coding Field Notes for Evaluation and Management (E/M) Services

Coding Field Notes for Evaluation and Management (E/M) Services


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Speaker: Betsy Nicoletti


E/M services are billed by most specialties and account for a high percentage of services for many practices. Knowing the rules for these services helps a practice get paid for the services it provides while staying in compliance. This audio conference will present the CPT and Medicare rules for common E/M services.
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Topics included are:
  • Billing E/M services during the global period-an area of interest on the OIG
  • Work Plan in 2007
  • Consultations
  • Billing for hospital services within a group, including critical care
  • Modifiers applicable to E/M services
  • Use of modifier 25, identified in an OIG report as having a 35% error rate
  • Learning Objectives

  • At the end of the CD, participants will:
  • Understand the E/M rules for billing within a group in a hospital setting
  • Know what services may and may not be billed in the global period
  • Know what modifiers can be billed with E/M services
  • Be clear about when to bill for an E/M service and a procedure on the same day
  • Understand the rules for consultations