2020 Evaluation and Management Coding Advisor

Optum360 | 2020 | Karen Prescott Adkins; Leanne Patterson

List Price

Item #: EMCA20
ISBN: 9781622546497
Available: Feb 2020

Evaluation and Management (E/M) coding is notoriously difficult because coders have trouble selecting the correct 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.
  • Optum360 Edge — Complete update to changes in E/M coding process. 
  • Compliance guidance, checklist, and worksheets help avoid costly revenue take-backs. 
  • ICD-10-CM code assignment hinges on the quality and detail of E/M encounter data. Get appropriate ICD-10-CM coding assignments with improved E/M coding process. Minimize physician queries and prevent delays in claims processing pending information and stop outright claims denials. 
  • Includes clinical case studies. Train coders and clinicians using real-life scenarios. 
  • Telemedicine services. Understand how E/M services are reported. 
  • Chapter addressing HCPCS codes. HCPCS types of services now in one chapter. 
  • Covers every E/M service. 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. 
  • Includes Knowledge Assessments. With answers and rationale, get instant feedback on knowledge retention 
  • Targeted areas. Review what auditors are targeting, such as critical care. 
  • Documentation guidance. Review key factors for proper E/M code selection, plus advice to help clinicians make an objective review of subjective information.

Karen Prescott Adkins, CPC, CPC-I, CCS-P

Ms. Adkins has more than 18 years of experience in the health care profession. She has an extensive background in professional component coding and billing. Her prior experience includes establishing and maintaining a coding and billing service, directing physician practice start-ups, functioning as director of physician credentialing, negotiating insurance contracts, and functioning as a health care consultant. Her areas of expertise include coding and reimbursement, documentation education, compliance, practice management, and revenue cycle management. Ms. Adkins is a member of the American Academy of Professional Coders (AAPC), and the American Health Information Management Association (AHIMA).

Leanne Patterson