Evaluation and Management Coding Advisor

  • AUTHOR: Optum360
  • ISBN-13: 9781601517388 
  • Grade(s): 9 | 10 | 11 | 12
  • Paperback 
  • 1st Edition
  • ©2015     Published
  • Prices are valid only in the respective region


About The Product

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. Now, with ICD-10-CM implementation approaching, your E/M coding takes on even greater importance and we've devoted an entire new chapter to this vital E/M and ICD-10-CM relationship.


  • Getting the documentation needed for ICD-10-CM code assignment hinges on the quality and detail of E/M encounter data. Accommodating ICD-10-CM coding needs through an improved E/M coding process will minimize physician queries, and prevent delays in claims processing pending information and stop outright claims denials.
  • Updated “Bell Curve” data shows E/M code utilization by specialty. Also includes average charge and payment amount for E/M services, by specialty.
  • Review of the E/M rules and protocols.
  • Helpful advice designed for difficult E/M coding situations. Well-patient exams, H1N1 flu, and other common, but problematic coding scenarios are explained.
  • E/M template examples for EMRs. Ensure accurate code selection and avoid over-coding with guidelines for using templates.
  • Targeted areas. Review what auditors are targeting, such as critical care.
  • Compiles payer and specialty association guidance on /EM coding issues.
  • Documentation guidance. Review key factors for proper E/M code selection, plus advice to help clinicians make an objective review of subjective information.

About the Contributor

  • Optum360