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Evaluation and Management Coding Handbook

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Improve Your E/M Coding and Make Your Workday Easier  

Evaluation and management (E/M) coding has been, and will continue to be, a hot area for government, payer, and compliance scrutiny. In fact, according to audit results published in the 2014 report “Improper Payments for Evaluation and Management Services Cost Medicare Billions in 2010,” 55 percent of E/M claims were incorrectly coded during 2010, resulting in $6.7 billion in improper Medicare payments.

To steer clear of trouble, you have to know the ins and outs of E/M coding and the pitfalls to avoid so you don’t over- or under-code your provider’s services. Chances are good that your payer will review any and all E/M claims your practice submits.

Bottom line: You need to know how to accurately and compliantly choose your level of service, every time.

That’s why you need the newly updated and expanded Evaluation and Management Coding Handbook.

Get over 250 pages of E/M coding guidance, plus — new for 2015 — you get level-of-service audit forms for both 1995 and 1997 guidelines and full-page 1997 specialty-specific exam calculation worksheets! Pull these pages out to tack up on your wall and make coding your E/M encounters quick and easy.

Here’s a sample of the content you’ll find in the Evaluation and Management Coding Handbook:

  • Avoid 5 common E/M errors with these expert tips.
  • Practice the Marshfield system for figuring MDM.
  • Differentiate 99213, 99214 to get the pay that you deserve.
  • Meet the challenge of more than one problem per day.
  • Implement the updated 99466-99467 reporting guidelines.
  • Improve your prolonged service coding by reviewing 3 coding examples.
  • Get to know 2015’s chronic care management code changes.
  • Watch for 0-day global periods on all codes, CMS says.
  • 3 scenarios help refine your smoking cessation coding.
  • Determine when and what to charge with a DOA.
  • Rely on 99462 for subsequent care of newborn.
  • Think again when reporting same date admission and 99217.
  • Prepare for denial when 2 physicians claim consult on same day.
  • And much more!


Plus, you’ll still get the best of the 2014 book, including:

  • Point your provider in the right direction with these five history tips.
  • Ensure your provider is documenting three key points for billing on time alone.
  • Follow these five steps and become a pro with subsequent hospital care coding.
  • Ensure face-to-face counselling for 99407 with 99213.
  • Know when you can — and can’t — report an E/M service during a procedure’s global period.
  • Focus on patient condition when deciding on 99291/99292. Here’s why.
  • Focus on three tips to capture deserved extra pay with +99354-+99357.
  • Nab separate pay for preventive and problem-oriented visits with these tips.
  • Make a call to the payer to determine whether E/M is bundled with surgery.
  • Leverage NPP help while collecting full reimbursement with these three tips.


As always, you are protected by our 100% Money-Back Satisfaction Guarantee. You have nothing to lose and a wealth of knowledge to gain.

Call 1-800-508-2582 or click the link above to get the most reliable, accurate, and timely E/M coding, billing, and compliance guidance.

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