Evaluation & Management Boot Camp—Professional Version™

Course Overview

Accurately bill and get reimbursed for E/M services

A target of considerable change in recent years, the E/M code set continues to see fine-tunings and tweaks. Understanding the latest changes is critical for selecting the right code and obtaining full reimbursement for E/M services. The Evaluation and Management Boot Camp—Professional Version provides a deep dive into CMS and AMA guidelines for office visit codes, inpatient/observation services, counting time and prolonged services, and contributory elements to medical decision making (MDM).

This Boot Camp teaches coders, billers, auditors, and practice managers how to interpret documentation relative to national carrier guidelines, apply guidelines accurately, and ensure appropriate E/M category and level assignment. Participants will learn to better identify key aspects of provider documentation to ensure both the patient’s complexity and the provider’s MDM are counted correctly, allowing the practice to get paid fully for care given.

In this in-depth class taught by our nationally recognized coding instructors, attendees will learn how to:

• Select the correct category of E/M codes based on the documentation provided
• Review the options for selecting levels of E/M codes based on time or MDM
• Append appropriate modifiers to E/M codes
• Apply “teaching physician” rules correctly
• Analyze how to bill appropriately for nonphysician practitioners (NPP)

This course dives into the many gray areas of E/M to make sense of conflicts between CMS’ and the AMA’s guidance. Armed with this information, practices can ensure correct reimbursement and prevent denials.

See the HCPro difference for yourself!

Expertly designed course materials: Materials are developed by our instructors specifically for this intensive learning format.

Hands-on learning: Attendees complete a set of exercises/case studies after appropriate modules to ensure that they understand the concepts and know how to apply them to real-world situations.

Small class size: Class size is limited to ensure individual attention.

Nationally recognized educators: HCPro is the nation's premier organization offering boot camp training courses to healthcare coding professionals.

For more detailed information about HCPro's Boot Camps, contact us 800-650-6787 or email sales@hcpro.com.

Looking to train your whole team? We can bring our expert instructors to you! Learn more here!

Evaluation & Management Boot Camp—Professional Version™

Course Outline

Module 1: Introduction to E/M Services

• Which providers may report E/M codes
• “New” versus “established” patients
• E/M guidelines on reporting for group practices and on-call physicians
• E/M associated modifiers

Module 2: E/M Category Selection

• Office and other outpatient
• Hospital inpatient and observation
• Consultations
• Emergency department
• Critical care
• Nursing facility
• Case management
• Preventive medicine
• Non-face-to-face
• Newborn care
• Care management

Module 3: Assigning Levels Based on Time or Medical Decision Making (MDM)

• Tick tock on the clock: Assigning levels based on time
• Activities that count as “time”
• Split/shared visits
• Documentation for separately reportable procedures (modifier 25)
• Prolonged services add-on codes
• Prolonged services (CMS “G codes”)
• G2211: Visit complexity inherent to E/M services
• Assessing brainpower: Assigning levels based on MDM
• Problems addressed: What conditions did the provider evaluate the patient for during this encounter?
• Reviewing and analyzing data reviewed: What additional information did the provider need to make a medical decision/develop a treatment plan?
• Patient management: Risk of complications and/or morbidity or mortality
• Split/shared visits

Module 4: Nonphysician Practitioners (NPP) and Teaching Physicians

• Three ways NPPs may report for their services
• Documentation requirements for a teaching physician involving residents
• Time-based code documentation requirements

Course Outline/Agenda subject to change.

Evaluation & Management Boot Camp—Professional Version™

Learning Outcomes

At the conclusion of this educational activity, participants will be able to:

• Select the correct E/M codes based on the documentation provided
• Evaluate the documentation requirements for all E/M levels
• Apply appropriate modifiers to E/M codes
• Analyze differences between CMS and AMA guidelines for E/M services
• Understand "teaching physician" documentation rules
• Remember the three options of how to accurately bill for non-physician practitioners (NPPs)

Continuing Education

AAPC
This program has prior approval of the AAPC for 15 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the AAPC of the program, content or the program sponsor.

ACDIS
This program has been approved for 15 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification and CCDS-O (outpatient) certification, offered as a service of the Association of Clinical Documentation Integrity Specialists (ACDIS).

AHIMA
This program has been approved for 15 CE credits for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

ANCC
HCPro is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This educational activity for 15 nursing contact hours is provided by HCPro.

Disclosure Statement:
HCPro has confirmed that none of the faculty/presenters, planners, or contributors have any relevant financial relationships to disclose related to the content of this educational activity.

Evaluation & Management Boot Camp—Professional Version™

Things to Know Before Attending Class

Directions and Hotel Information

The hotel address, phone number, URL, room rate and room rate cut-off date are posted on the Locations/Dates tab. The hotel websites give detailed directions to the hotel as well as information about the location.  Please call the hotel directly to make a room reservation.  Be sure to identify yourself as an HCPro Boot Camp participant.  Please be sure to make your reservation before the cut-off date.  After the cut-off date, contact the hotel to determine room availability and rates.

Course Materials

When you arrive at class, you will receive a workbook containing the class materials utilized throughout the boot camp.  These workbooks will be yours to keep, so plan accordingly in allowing enough room in your luggage on the return trip home.  Workbooks may also be shipped from the hotel at your own expense.

Manuals Needed for Class

You will need a current** year CPT Professional edition manual. To order a manual from HCPro, please visit our website: https://hcmarketplace.com/2024-cpt-pro

** Please note: Each year the CPT manual is updated around early-mid November any classes around this time frame will use the most current version.

Classroom Time

It is an understatement to say that this course is intense.  Other than breaks, we will be in class from 8:00 a.m. to 5:00 p.m. each day.  There will be about a 45 minute lunch break each day. Cell phone use during class is strictly prohibited.

Lunch

We will take about a 45 minute break for lunch each day.  Although we typically provide coffee in the morning and drinks and snacks in the afternoon, everyone is on their own for lunch.  Note that many hotels do not have restaurants on-site.  If you are flying to the course, we generally recommend renting a car.

What to Bring to Class

Please bring the following to all classes:

• Your current CPT Professional edition manual (required)
• Highlighter
• A notebook for making your own notes
• Sticky Notes/flags
• Pen/Pencil

Dress

Business attire is not necessary.  Please dress comfortably.  Also, we find that the classrooms are sometimes on the cool side, even during the warmer months.  You may be more comfortable if you bring a sweater or sweatshirt in case you get cold. 

Cancellation and Transfer Policy

For our cancellation and transfer policy, visit our website at: https://hcmarketplace.com/cancellations

Contact Information

For more information about our Boot Camps, contact us at 800-650-6787 or email sales@hcpro.com.

We Look Forward to Having You In Class!

Evaluation & Management Boot Camp—Professional Version™

Questions/Answers

Are coding manuals required for class?
We highly recommend that you have the CPT® 2024 Professional Edition for class. You can order the AMA CPT manual here!

Where is the course offered?
Our in-person courses are offered at various locations around the country at mid-priced business hotels such as Hyatt Place or Hilton Garden Inn. For a current schedule of upcoming in-person classes, please click on the "Locations/Dates tab. "

Can I work with HCPro to offer this course just for the coders in my organization?
Yes, HCPro can deliver this class live virtually or in person at your facility just for your team (at a substantial discount). For more information, please email sales@hcpro.com.

What if I need to cancel or transfer my registration?
Please click here to view our cancellation policy.

Who typically attends the Evaluation & Management Boot Camp—Professional Version?

• Coders and billers
• Patient accounting managers/staff
• Medical practice managers/staff
• Medical records/health information managers/staff
• Registration managers/staff
• Clinical managers and department heads
• Physicians, NPs, PAs, and other clinicians
• Compliance officers and auditors
• Finance and reimbursement managers/staff
• Healthcare consultants, CPAs, and lawyers
• Health plan and insurance company personnel
• Medicare carrier and intermediary personnel

What material does the course cover?
To view the course outline, click on the "Course Outline" tab.

Does this course cover both professional and technical E/M coding?
No. This course focuses on the professional services portion of E/M coding only.

Does the course require any previous coding experience?
No. The course does not assume that participants have coding experience. However, because of the fast-paced nature of the course, it is recommended (but not required) that participants have at least one year of experience working in the healthcare industry in a billing-related, administrative, or clinical position.

How do I get more information? 
Contact us at 800-650-6787 or email sales@hcpro.com.