Understanding Medical Billing-Part 3 Evaluation and Management (E/M) Coding Slides

Part 3 Evaluation and Management (E/M) Coding Slides

Pdf Summary

This document is titled "Understanding Medical Billing: Part Three: Evaluation and Management (E/M) Coding" and it is written by Alex Vaughan, DDS. The document discusses the evaluation and management coding guidelines for medical billing.<br /><br />The document starts by mentioning that the 2021 guidelines will bring big changes and that medical necessity still applies in determining the level of examination needed. It also highlights the importance of "doctoring" time and the choice between billing by elements or time.<br /><br />The different types of E/M coding for new patients, established patients, and consultation visits are explained. The document advises against providing consultations and offers a brief overview of the requirements for each type of visit.<br /><br />The elements of history, examination, and medical decision-making are then discussed. For history, factors such as chief complaint, history of present illness, review of systems, and past/family/social history are explained. The examination elements for different body systems are also listed.<br /><br />The document goes on to explain the elements of medical decision-making, including the number of problems, data points, and risk assessment. It further provides examples of how these elements are used to determine the level of medical decision-making.<br /><br />The document concludes by mentioning the specific codes for different patient visits and the requirements for each code. It also briefly mentions the changes in 2021, including the removal of history and examination requirements and the increased focus on medical decision-making. The importance of medical necessity is reiterated, and the document ends with a thank you message.

Keywords

Understanding Medical Billing

E/M Coding

2021 guidelines

medical necessity

doctoring time

billing by elements

new patients

established patients

consultation visits

medical decision-making