2024 Evaluation & Management Coding Advisor (Softbound)

Optum | 2024 | Leanne Patterson; Tara Rose

List Price

Item #: EMCA24
ISBN: 9781622549689
Available: NOW

Evaluation and management (E/M) coding is notoriously difficult because selecting the correct code from among a range of seemingly appropriate choices can be difficult. 

Consequently, providers can make more mistakes with E/M coding than coding for any other item or service. This resource offers detailed and advanced guidance on selecting the appropriate E/M codes, with helpful resources designed for difficult E/M coding situations.

  • Optum Edge — Online access to Physician E/M Self-Audit Forms. Protect your revenue-critical services and procedures. 
  • Complete 2024 update to changes in E/M coding process.
  • Compliance guidance, checklist, and worksheets. Assists in helping avoid costly revenue take-backs.
  • ICD-10-CM code assignment hinges on the quality and detail of E/M encounter data. Get the appropriate ICD-10-CM coding assignments with improved E/M coding processes. Minimize physician queries and prevent delays in claims processing pending information and stop outright claims denials. 
  • Includes clinical case studies. Train coders and clinicians using real-life scenarios.
  • Telemedicine services. Understand how E/M services are reported.
  • Chapter addressing HCPCS codes. Extensive HCPCS service types are all listed together in one chapter.
  • Covers E/M services. Review of the E/M rules and protocols.
  • Helpful advice designed for difficult E/M coding situations. Well-patient exams, and other common, but problematic coding scenarios are explained.
  • Includes knowledge assessments. With answers and rationale, get instant feedback on knowledge retention.
  • Targeted areas. Review what auditors are targeting, such as critical care.
  • Documentation guidance. Review key factors for proper E/M code selection, plus advice to help clinicians make an objective review of subjective information.

CPT is a registered trademark of the American Medical Association.

Leanne Patterson, CPC

Ms. Patterson has more than 15 years of experience in the healthcare profession. She has an extensive background in professional component coding, with proven expertise in assignment of E/M codes, general surgery coding, medical record documentation improvement, and HIPAA compliance. Her experience includes serving as Director of Compliance, conducting chart-to-claim audits, and physician education. She has been responsible for coding and denial management in large multi-specialty physician practices, and most recently has been part of a team developing content for products related to ICD-10-CM. Ms. Patterson is credentialed by the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC).

Tara Rose, CPC-I, CPMA, RHIA, CCS-P, AHIMA- approved ICD-10-CM/PCS Trainer

Ms. Rose has more than 15 years of experience in the healthcare profession. She has extensive experience in auditing, teaching, physician billing, and multi-specialty coding with experience in coding CPT, HCPCS, and ICD-10-CM. Most recently Ms. Rose was a post payment auditor and coding consultant. She also taught coding to physicians and at a local community college. Ms. Rose has been a member of her local American Academy of Professional Coders (AAPC) chapter and the American Health Information Management Association (AHIMA) for many years.