Mastering Evaluation and Management Services in Healthcare: A Resource for Professional Services

This book is a valuable resource for practitioners and serves as a guide to Evaluation and Management (E/M) coding, including the 1995, 1997, and 2021 documentation guidelines.

Format: Paperback / softback
Length: 110 pages
Publication date: 30 December 2020
Publisher: Business Expert Press

This comprehensive book delves into the realm of Evaluation and Management (E/M) coding, serving as a valuable resource for both practitioners and professionals in the field. For two decades, the guidelines published in 1995 and 1997 have been instrumental in providing guidance and structure around the documentation requirements necessary to support high-quality outpatient services. However, after a remarkable twenty-three years, Medicare has announced the adoption of a new set of standards, set to take effect on January 1, 2021.

This book is designed to serve as a comprehensive guide for accurate code assignment, as well as an educational tool for the 1995, 1997, and 2021 documentation guidelines. It encompasses a detailed exploration of the coding principles, guidelines, and reimbursement policies associated with E/M services.

The book begins by providing an overview of the history and evolution of E/M coding, including the transition from the Resource-Based Relative Value Scale (RBRVS) to the Clinical Documentation Improvement Program (CDIP). It then delves into the intricacies of code assignment, covering topics such as the selection of appropriate evaluation and management levels, the documentation of medical history, examination, and medical decision-making, and the application of add-on codes and modifiers.

Throughout the book, real-world examples and case studies are presented to illustrate the practical application of E/M coding principles. These examples help readers to understand how to apply the guidelines to various clinical scenarios and to ensure accurate reimbursement for their services.

In addition to its instructional value, the book also includes comprehensive appendices that provide valuable resources for further study. These appendices include coding manuals, reimbursement tables, and reference materials from the American Medical Association (AMA), the Centers for Medicare & Medicaid Services (CMS), and other relevant organizations.

By leveraging the expertise and insights of leading healthcare professionals, this book aims to empower practitioners and professionals to navigate the complex world of E/M coding with confidence and proficiency. Whether you are a physician, nurse, therapist, or billing specialist, this book will provide you with the knowledge and tools you need to excel in your role and ensure optimal reimbursement for your services.

In conclusion, this book is a must-have resource for anyone involved in Evaluation and Management (E/M) coding. It offers a comprehensive and up-to-date understanding of the coding principles, guidelines, and reimbursement policies associated with E/M services. With its practical approach, real-world examples, and comprehensive appendices, it empowers practitioners and professionals to navigate the complex world of E/M coding with confidence and proficiency.

ISBN-13: 9781952538667