Recorded February 4th, 2025

Evaluation & Management E/M Services: Guest presenters Pam D’Apuzzo, CPC, ACS-EM, ACS-MS, CPMA and Debra Rossi, CCS, CCS-P, CPC, CPMA of VMG Health

Surgical Procedures & Diagnostic Tests: Guest presenter Pam Warren, MHA, COC, CPC, Fellow

Auditing an individual record is one part of conducting an internal or external audit. Anatomy of an audit will look at the entire audit process including: identifying the type and purpose of the audit, necessary research, record selection, utilization of appropriate audit tools, and reporting and response.

Recorded October 19, 2023

According to CMS, E/M services comprise 40% of allowed charges in the physician fee schedule, 20% office visits and 20% other E/M services. Medicare’s expense is medical practice revenue, with the income from some primary care practices comprising 70% or more of total charges. To protect the organization, compliance professionals can focus on four components of E/M:

Recorded September 22, 2022

As expected, the AMA has revised the definitions and guidelines for hospital and other E/M services, including ED visits, nursing facility services, home services, and domiciliary care codes.  They extended the documentation framework in place for office visits to these codes. They also deleted twenty-five codes. Coding for prolonged care services gets…