Evaluation and Management Coding Advisor

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2012 Edition
Paperback: 300 pages
ISBN 1601515545
978-1601515544
Ingenix / Thomson Delmar
August 2011
(click below for the very best available price for this book)

2011 Edition
Paperback: 300 pages
ISBN 1601514735
978-1601514738
Ingenix / Thomson Delmar
August 2010
(click below for the very best available price for this book)

Evaluation and Management (E/M) coding is notoriously difficult, mainly because coders have trouble accurately selecting a code from among a range of seemingly appropriate choices. Consequently, providers make more mistakes with E/M coding than coding for any other item or service.

This new resource offers detailed and advanced guidance on selecting the appropriate E/M codes, with helpful resources designed for difficult E/M coding situations.

Review of the E/M rules and protocols.
Helpful advice designed for difficult E/M coding situations such as well-patient exams, H1N1 flu, and other common, but problematic coding scenarios.
E/M template examples for EMRs promote accurate code selection with guidelines for using templates to avoid over-coding.
Review what auditors are targeting, such as critical care.
Compiles payer and specialty association guidance on E/M coding issues.
Documentation guidance and key factors for proper E/M code selection, plus advice to help clinicians make an objective review of subjective information.
E/M code selection benchmarking tool with “Bell Curve” data that shows the range of code selection by specialty.

Nannette Orme, CPC has more than 15 years of experience in the health care profession. She has extensive background in CPT®/HCPCS and ICD-9-CM coding. Her prior experience includes physician clinics and healthcare consulting. Her areas of expertise include physician audits and education, compliance and HIPAA legislation, litigation support for Medicare self-disclosure cases, hospital chargemaster maintenance, workers' compensation and emergency department coding. Ms. Orme has presented at national professional conferences and contributed articles for several professional publications. She is a member of the American Academy of Professional Coders and the Utah Medical Group Management Association (UMGMA).

View sample pages from a previous edition.

Ingenix offers practical results-oriented consulting services for coding, physician documentation, billing compliance, reimbursement, training services for hospitals and physicians, and more. Learn from the experts who help write the books other consultants are using. Thousands of physicians and health care professionals rely on Ingenix for expert advice. Start benefiting from our 100+ years of combined experience.

Please remember: The government no longer allows a grace period for annual code sets. The new HIPAA Transaction and Code Set Rule requires providers to use national medical code sets that are valid at the time that a service is provided. ICD-9-CM code revisions become effective October 1st each year while CPT and HCPCS code revisions become effective January 1st. In order for you to meet this requirement, you must have the revised CPT, HCPCS, and ICD-9-CM codes in your possession before the implementation dates. The best way to do this is to order your code books early. Review current coding resources.

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