Outpatient Coding and Coverage Issues: Evaluation and Management (E/M) Services

Course Code: REL-RCC-REV-CCI-A04

Hours: 0.5

Type: Online Course

Content Expiration Date: 12/31/2025

Learning Objectives:
Recall how to use E/M codes under the Outpatient Prospective Payment System (OPPS).
Select the correct E/M code assignment in the ED.
Identify the correct code assignment for outpatient clinic services.
Understand some of the nuances associated with telehealth services and E/M reporting.

Outline:

Section 1: Introduction

About This Course

Learning Objectives

Background

Section 2: Guidelines

Internal Guidelines

Distribution of Visits

Review

Basics of Facility E/M Coding Guidelines

Additional Guidelines

Methodology

Review

Section 3: Types of Services

Coding by Site and Type of Service

Critical Care

Review

Section 4: Separate Services

Modifiers

Separately Billable Procedures

Example of Reporting Separately Identifiable Services

Telehealth Services

Review

Section 5: Conclusion

Course Summary

Course Contributors

References

Subject Matter Expert: Tamara Abraham, AS, BA, CPC-I, CGSC, CPC

Tamara has twenty-seven years of multi-specialized medical coding and Corporate Compliance experience. She is the founder of Abraham Medical Coach LLC, where she provides medical coding and healthcare compliance consulting services to healthcare organizations across the United States. In addition to consulting, Tamara prepares individuals to sit for their medical coding certification via her online course curriculum. She is an adjunct educator for a local community college based in Texas. Her area of instruction includes Introduction to Medical Law, Medical Terminology, ICD-10-CM and Procedural Coding. Tamara’s credentials include AAPC Approved Instructor, Certified General Surgery Coder and Certified Professional Coder with the Academy of Professional Coders Association (AAPC). She has authored three books specific to the medical coding industry.

Target Audience:
The target audience for this course is: Healthcare Billing and Coding; in the following settings: Hospitals: Acute.

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All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.

To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.

Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.