Part 1- Understanding the three key components that are used to properly identify the correct E/M level of service is essential for you to know as a medical coder. Reimbursement and compliance are closely tied to our accurate knowledge and expertise and these are the main elements of the job! For this discussion, consider your three key components: history, examination, and medical decision-making as you respond to each prompt.
Apply your knowledge by including key component decision-making for E/M services.
Include the following aspects in the discussion:
Select one key component to highlight in your own words
Explain the importance of the elements that are included with this component
Describe briefly the levels within the key component you selected
Discuss the process you would use to determine the overall level of the key component selected
Part 2-
Services in the Evaluation and Management Section
There are many types and places of service found within this CPT section. As a coder, it is essential that you fully understand what services are captured including the many categories and sub-categories located in E/M. As a coder, you will be called upon by your providers and others based on your expertise in this area.
Demonstrate your understanding of the E/M section through participation in this discussion.
Include the following aspects in the discussion:
List one category or sub-category in Evaluation and Management
Provide at least three examples of codes and descriptions from the category or sub-category selected
Describe when it would be appropriate to use these services
Discuss if there may be a difference in reimbursement based on the examples you shared.