Accredited for 4.0 AMA PRA Category 1 Credits™
Credit Offering Period:  June, 2017 – June 2018

Carol Hoppe, CPC, CCS-P, CPC-I President and CEO, MedLucid Solutions, Fishers, IN Carol is a certified instructor through the American Academy of Professional Coders (AAPC) and has 15 years of experience auditing E/M services and training physicians on E/M documentation guidelines.

Payer audits are inevitable in today’s healthcare environment. Third-party payers are looking for old dollars to pay new claims. This 4-part webinar series will help physicians document efficiently and effectively to support Evaluation and Management (E/M) coding. One hour a week, for four weeks, will equip you with the tools you need to be successful at coding correctly and documenting appropriately to keep your hard-earned dollars in your pocket where they belong. This training will break down E/M documentation and code selection into easy, manageable steps with immediate application. By the end of this 4-week series, you will be able to document and code E/M services with confidence.

Just like a great story, the patient’s notes for an episode of care must have a beginning, middle and end. Participants will learn the 3 key components of E/M guidelines and how to “put it all together” for a great ending.

SESSION 1 – INTRODUCTION TO E/M AND THE PATIENT HISTORY
Objectives

• Introduce E/M documentation requirements
• Learn why establishing medical necessity in the Chief Complaint is essential
• Discuss the eight elements in the History of Present Illness (HPI)
• Identify the appropriate elements needed in Review of Systems (ROS)
• Recognize elements of Past Family Social History (PFSH)
• Understand how to put these all together and select the level of History
• Look at a variety of HPI examples from different specialties 
• Ask questions about the History Key Component

SESSION 2 – EXAMINATION
Objectives

• Explore the differences between the 1995 and 1997 E/M Guidelines
• Discuss specialty exam templates and cautions of EHR recommended codes
• Become familiar with the pitfalls of “cloned” visits from an auditing perspective
• Determine the most effective way to support the level of Exam
• Review a variety of Exam examples from different specialties 
• Ask questions about the Exam Key Component

SESSION 3 – MEDICAL DECISION MAKING (MDM)
Objectives

• Distinguish the three different elements of Medical Decision Making
• Learn how to document each MDM element to withstand an audit
• Find out how to calculate the level of Medical Decision Making
• Go over real Medical Decision Making examples
• Ask questions about the MDM Key Component

SESSION 4 – “PUTTING IT ALL TOGETHER
Objectives

• Learn how to select the correct level of E/M service in any location
• Discuss when to bill based on time and what you must document to do so
• Review important E/M modifiers to ensure appropriate payment
• Understand “incident-to” billing requirements for different payers
• Know how to document and bill for “shared/split visits”
• Recognize why internal audits are essential
• Ask questions and get answers!

CME Information
Designation Statement:  The Indiana State Medical Association (ISMA) designates this 4-part internet enduring material for a maximum of 4.0 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Accreditation Statement:  The Indiana State Medical Association (ISMA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Note:  While offering the CME credit hours listed in these pages, these activities are not intended to provide extensive training in a field.

Disclosure:  In accordance with the ACCME Standards for Commercial Support, educational programs sponsored by the ISMA must demonstrate balance, independence, objectivity and scientific rigor. Prior to the activity, all faculty, authors, editors and planning committee members participating in an ISMA-sponsored activity are required to disclose to attendees any relevant financial interest or other relationship with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services that are discussed in an educational activity.

If you have questions, you may contact ISMA – Continuing Medical Education staff at 800-257-4762 or by email at seminars@ismanet.org.