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May 20, 2025

Anatomy of an Audit™: Complexity of Problem Addressed | Webinar

Event Date May 22nd, 2025

Guest presenters Pam D’Apuzzo, CPC, ACS-EM, ACS-MS, CPMA and Debra Rossi, CCS, CCS-P, CPC, CPMA of VMG Health

Combining CPT® guidance and extensive audit experience, this session will address definitions and documentation related to acute and chronic conditions, stable or with exacerbation/progression or side-effect, how an undiagnosed new problem with an uncertain outcome differs from an acute, uncomplicated condition, and have examples of an illness with systemic symptoms and “high” in the number and complexity of problems addressed.

Anatomy of an Audit™

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.

FAQ: Scoring Elements in the E/M Guidelines

Scoring MDM elements can be challenging for E/M services This post includes questions related to: Major/Minor procedure Data Elements (with link to additional resources) General questions about the guidelines Using time (with link to additional resources) Social determinants of health Major or minor procedure? Question: I have a question about how to determine if a […]

Multiple E/M Services in the Same Calendar Day

The AMA has added a new subsection in the 2024 E/M section addressing how to report E/M services when there are multiple encounters in the same day. (Pages 6 and 7) According to CPT Changes 2024 An Insider’s View, the reason for this was to provide clarification for when multiple E/M services were performed on […]

E/M Services: High Volume, High Risk | Webinar

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:

2023 E/M Guidelines for Hospital, Nursing Facility, Home and Residence Services | Webinar

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…

E/M Office Visit Scenarios

It can be difficult to translate the E/M rules into patient scenarios. The guidelines seem great in theory, but how does a clinician use them and select the correct level of service? Here are ten examples. They represent the common visits in medical practices and health centers. EXAMPLE ONE 99202/99212 Patient presents at the urging […]

Coding Guide – E/M Services

This coding guide describes the guidelines for evaluation and management (E/M) services reported in the office or outpatient department, consultations, ED visits, inpatient and observation hospital visits, nursing facility and home services. There are specific changes related to these categories of codes described here. The guide will also discuss how to select the level of service based on either time or medical decision-making.

Annual CPT® Changes Webinar

CodingIntel welcomes back Shannon McCall of HCPro for this review of changes that will go into effect January 1st, 2025. Exclusively for members.

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Compliance for Medical Practices

Exclusively for members, this two module concentration includes guidance for developing an audit workplan, and how to locate source citations for common healthcare compliance scenarios.

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IRE Inpatient Determinations: Case Studiesoding for Prolonged Services | Webinar

Exclusively for members, this case-study focused webinar describes important ICD-10-CM Guidelines that establish the rules for these decisions.

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Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions.

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