Live Virtual Evaluation and 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 Live Virtual 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.

How does the Live Virtual Boot Camp work? 

Experienced instructor Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, CCDS-O, leads this four-day interactive class that includes practical scenarios as well as the opportunity to have your questions answered.

For more detailed information about HCPro's Boot Camps, contact us at 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!

Live Virtual Evaluation and 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.

Live Virtual Evaluation and Management Boot Camp—Professional Version™

Learning Outcomes

At the completion of this Boot Camp, 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.

Live Virtual Evaluation and Management Boot Camp—Professional Version™

Things to Know Before Attending Class

Course Materials

You will receive a hard copy of the class materials. These will be shipped to you via UPS. If ordering on our website, please be sure to enter the physical address of where these materials should be shipped to. If you order over the phone or if you are unsure of what address we have on file, please ask the person you are speaking with to verify your address information and update accordingly or call our customer service department. Materials should arrive approximately two business days prior to the start of class.

Manuals Needed For Class

Each course participant must have their own AMA CPT 2024 Professional Edition© for class.

If you need to order this manual from HCPro, please use the following link.

AMA CPT 2024 Professional Edition

The “Standard” version of the CPT manual, CPT Expert, and CPT Plus! are not acceptable for the Boot Camp course. Neither CPT Expert nor CPT Plus! are accepted for the CPC exam. 

Virtual Boot Camp Platform

We use GoToMeeting to present our virtual boot camps. To ensure your system supports GoToMeeting, use this link https://support.goto.com/meeting/system-check. We will send out access information for the class 4 business days prior to the class start and again 1 business day prior.

Session Recordings

You will have access to the recordings of each class session via a password protected page on our website. Recordings will be added to the page within one business day following the live session. You will have access to this page for 60 days after the final live session.

Continuing Education Credits

To receive continuing education credits, you will be required to successfully complete a 40-question quiz that is based off of the content covered throughout the course. Successful completion is achieved by getting at least 80% of the multiple-choice questions correct.

Copyright Protection of Course Materials

The materials used in connection with this course were custom designed by our company specifically for use in connection with this course. We have invested a tremendous amount of time, money and effort in developing, refining and maintaining these materials and they are protected by copyright laws. Course materials may not be duplicated.

You may use the materials (i) in direct connection with the course or (ii) as a personal reference in your day-to-day work. No claim is asserted to any U.S. Government, American Medical Association or

What to Bring to Class

We suggest that you have the following available during the class:

• AMA CPT 2024 Professional Edition
• Highlighter
• Notepaper
• Sticky Notes/flags
• Pen/Pencil
• Hardcopy of class materials

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!

Live Virtual Evaluation and 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!

How will I access the class virtually and what technical setup do I need?
Class will take place using the GoTo Meeting platform. To ensure the best experience, your computer should have a microphone and speakers so that you can interact with the class. If you do not have a microphone or speakers, there is a dial-in option.

Prior to class, read the full system requirements for GoTo Meeting by visiting https://support.goto.com/meeting/help/system-requirements-for-attendees-g2m010003. You can also test your system by visiting https://support.logmeininc.com/gotomeeting/get-ready.

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.