Evaluation and Management training in Hyderabad - PowerPoint PPT Presentation

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Title:

Evaluation and Management training in Hyderabad

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Evoluation and management pointers, carriers should create their own criteria for each go to level. CMS has evolved a listing of eleven criteria that it makes use of whilst auditing facility E/M criteria .Observe the motive of the CPT code descriptor: pointers need to be designed to reasonably relate the depth of health center sources required to the extraordinary tiers of attempt represented via the code. – PowerPoint PPT presentation

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Title: Evaluation and Management training in Hyderabad


1
Evaluation and Management coding?
2
  • Because the facilities for Medicare Medicaid
    services (CMS) has no longer created any national
    emergency branch (ED) assessment and control
    (E/M) pointers, carriers should create their own
    criteria for each go to level.
  • CMS has evolved a listing of eleven criteria that
    it makes use of whilst auditing facility E/M
    criteria. in step with CMS, E/M tips have to do
    the following

3
  • observe the motive of the CPT code descriptor
    pointers need to be designed to reasonably relate
    the depth of health center sources required to
    the extraordinary tiers of attempt represented
    via the code.
  • 2. Be based totally on sanatorium facility
    resources, now not doctor assets.
  • for more information once go through Evaluation
    and Management training in Hyderabad

4
  • 3. Be clean in order that they facilitate correct
    bills, and be usable for compliance purposes and
    audits four. Meet the medical health insurance
    Portability and duty Act of 1996 (HIPAA)
    requirement .
  • for more information once go through
    Evaluation and Management training in Hyderabad

5
GENERAL PRINCIPLES OF E/M DOCUMENTATION
  • If it is not documented, it has not been done.
    Clear and concise medical record documentation is
    critical to providing patients with quality care
    and is required for you to receive accurate and
    timely payment for furnished services. Medical
    records chronologically report the care a patient
    received and record pertinent facts, findings,
    and observations about the patients health
    history.

6
Principles
  • Medical record documentation helps physicians and
    other health care professionals evaluate and plan
    the patients immediate treatment and monitor the
    patients health care over time. Health care
    payers may require reasonable documentation to
    ensure that a service is consistent with the
    patients insurance coverage and to validate.

7
Principles
  • The site of service The medical necessity and
    appropriateness of the diagnostic and/or
    therapeutic services provided That services
    furnished were accurately reported General
    principles of medical record documentation apply
    to all types of medical and surgical services in
    all settings. While E/M services vary in several
    ways, such as the nature and amount of physician
    work required, these general principles help
    ensure that medical record documentation for all
    E/M services is appropriate

8
  • The medical record should be complete and
    legible. The documentation of each patient
    encounter should include.
  • Reason for the encounter and relevant history,
    physical examination findings, and prior
    diagnostic test results.

9
  • Assessment, clinical impression, or diagnosis
  • Medical plan of care
  • Date and legible identity of the observer.
  • for more information once go through Evaluation
    and Management training in Hyderabad
  •  
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