Prod ID: 436Learn the steps that tie accurate code selection to proper reimbursement. Participants will identify the components of an E/M service, define medical necessity and learn the general rules for documenting E/M services.
3
164 min
$119.00
Many variables must be considered to determine the appropriate Evaluation and Management (E/M) code to use. This program will instruct on the fundamental principles underlying all evaluation and management coding and outline the steps that relate accurate code selection to proper reimbursement.
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Jan HaileyMHL, CMC, CMCO, CMIS, CMOM, CMCA E/M |
Jan Hailey has more than 30 years of experience in healthcare. She is proficient in administration, coding, and billing roles, and teaches medical office professionals around the country how to excel in their careers. Jan has also been instrumental in the development of PMI's Workforce Initiatives program.
Jan's affinity for teaching has helped countless healthcare providers and medical office professionals over the years. During her expansive career, she has served as Director of Quality for Saint Joseph Physician Network located in Mishawaka, IN, and Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. As Care Management Director, Jan led the physician network and comprehensive interdisciplinary team across the health system working closely with providers, management, staff, community, and payers to develop strategies for process improvement, gap closures, and patient experience. She developed a documentation improvement program and a Hierarchical Condition Category (HCC) coding education program to predict future healthcare utilization by accurately reporting patient complexity.
Prior to joining Saint Joseph, Jan was the Director of Quality, Coding, and Compliance for one of the largest health systems in Northern Indiana. She has a Master of Health Leadership and four professional certifications in office management, coding, insurance processing, and compliance. She is a member of WPS Government Health Administrators (Medicare) Provider Outreach and Advisory Group.
Participants will learn to accurately select the appropriate level of E/M service based on medical decision-making or time.
This is a basic-level course. Content assumes an awareness of the role of medical coding in relation to outpatient provider reimbursement.
This program introduces key definitions and reviews guidelines for proper selection of the level of Evaluation and Management (E/M) services.
Highlights:
Self-paced online program includes unlimited review of recorded lectures and access to downloadable digital companion materials for 6 months.
PMI Basics: Introduction to Medical Coding
Principles of Coding