Evaluation and Management: E/M Medical Decision Making

Outline:

Section 1: Introduction

About This Course

Learning Objectives

Section 2: Overview

Evaluation and Management Services

Medical Decision Making

Types of Medical Decision Making

Review

Summary

Section 3: Medical Decision Making Guidelines and Definitions

MDM Element: Number and Complexity of Problems Addressed

Documenting Problems and Management Options

MDM Element: Amount and Complexity of Data to Be Reviewed and Analyzed

Documenting Data Review

MDM Element: Risk of Complications and/or Morbidity or Mortality of Patient Management

Documenting Risk

Levels of MDM Criteria

Review

Summary

Section 4: Determining the Level of MDM

Determine the Extent of MDM

Coding Application: Selecting the Level of MDM

Summary

Section 5: Conclusion

Course Summary

Course Contributor

Resources

References

Exam and BrainSparks

Sarah is a Subject Matter Expert/Writer for Relias's Revenue Cycle and Coding online education. Sarah is credentialed by AHIMA as a Certified Coding Specialist (CCS) and Certified Coding Specialist Physician-based (CCS-P), as well as an approved ICD-10-CM/PCS Trainer. She is also credentialed by AAPC as a Certified Professional Coding Instructor (CPC-I), a certified coder of physician/professional (CPC) and outpatient hospital services (COC), and a Certified Risk Adjustment Coder (CRC), with specialty certification in Evaluation and Management Services (CEMC). Sarah has extensive experience in both professional and facility ICD-10-CM/PCS, CPT and HCPCS coding, auditing, and revenue cycle management and as an educator of hospital and professional medical coding curriculum. She has served as Director of Physician Billing and Reimbursement for a regional health system, Manager of Coding and Compliance for a hospital and cancer center, and Business Manager of Physician Practices at a teaching hospital, as well as a coding auditor and consultant. Sarah has also authored coding textbooks and instructional resources.

Disclosure: Sarah A. Serling, CCS, CPC, CRC, COC, CCS-P, CEMC, CPC-I, ICD-10-CM/PCS Trainer has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.