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Avoid Medical Necessity Pitfalls When Documenting E&M Levels 4 and 5

Avoid Medical Necessity Pitfalls When Documenting E&M Levels 4 and 5

 
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Evaluation and Management (E&M) services are the most targeted services by government auditors. Over utilization of E&M services can drive audit requests by all carriers. Having a better understanding of the documentation requirements for E&M services, as well as the medical necessity implication of those services, especially in the Emergency Department setting, will help you achieve a more accurate leveling of E&M services.


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Price: $229.00

Product Code: R050118




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Description Biography
 

During this exclusive RACmonitor webcast, nationally prominent healthcare expert Shannon DeConda will review not only the documentation requirements for the E/M Level 4 and Level 5 encounters in the Emergency Department, but additionally the medical necessity of each level. Since medical necessity is the overarching criterion factor in choosing the supported level of E/M service, it is critically important to not only understand this variation, but to also understand how this is supported through documentation guidelines.

Learning Objectives:

During this exclusive RACmonitor webcast, you will…

  • Learn to identify the documentation requirements outlined for both Level 4 and Level 5 E/M services in the ED;
  • Know how to identify the medical necessity requirements outlined for both Level 4 and Level 5 E/M services in the ED;
  • Learn how medical necessity impacts leveling for E/M services; and
  • Gain a better understanding of how documentation requirements and medical necessity work together to support proper leveling of E/M services.
Who Should Attend

Medical auditors, coders, and billers, hospital compliance and audit and appeal managers and directors, RAC coordinators.