Did We Document It? E/M, MDM, G2211 and Modifier 25 in CV Care

Description

Accurate evaluation and management (E/M) coding starts with documentation that clearly reflects the complexity of cardiovascular care. Through practical cardiovascular scenarios, this session will examine the documentation behind medical decision-making (MDM), E/M level selection, G2211, modifier 25, time-based services, same-day procedures and diagnostic testing.

Participants will work through common areas of physician-coder confusion, including chronic disease management, independent interpretation of test results, prescription drug management, decisions regarding procedures, and distinguishing a separately identifiable E/M service from work inherent in another service. Geared toward coders, auditors, compliance teams and revenue cycle teams, this webinar will connect documentation practices to coding accuracy, compliance, revenue integrity and physician workflow efficiency.

Objectives:
• Apply E/M and MDM requirements to common cardiovascular encounters.
• Strengthen documentation to clearly support the complexity and medical necessity of care provided.
• Identify appropriate use of G2211 and modifier 25 in CV practice.
• Differentiate separately reportable E/M work from diagnostic and procedural services.
• Recognize documentation gaps that contribute to coding variation, denials, compliance risk and lost revenue.

Speakers

Jammie Quimby, CPC, CCC, CEMC, CCS-P, CPMA, CRC, CDEO, CPCO
Director of Coding, Revenue Cycle Solutions

Linda Gates-Striby, CCS-P, ACS-CA
Consultant, Revenue Cycle Solutions, MedAxiom