Ep. 116 Evaluation & Management (E&M) Coding 101 with Dr. Ryan Trojan

Dr. Ryan Trojan gives us a 101 on Evaluation and Management (E/M) Coding, including tips and tricks for capturing inpatient notes and practice building, as well as the updates for success in 2021.

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SHOW NOTES

In this episode, Dr. Ryan Trojan joins Dr. Christopher Beck to discuss Evaluation and Management (E&M) coding in IR. We discuss what a practice that uses E&M looks like and the pros of integrating E&M into a practice while IR becomes more clinical. Dr. Trojan explains why he thinks relative value units (RVUs) are worth the bit of extra time. We clear up some of the misinformation about E&M, and we discuss global billing periods.

We discuss templates, Epic, and some important details about Modifier-25 for E&M. We explain medical decision making in terms of problem point, data points, and risk. We discuss the four levels of complexity and the subsets of risk. We talk through documenting history and why it is important to use straightforward language.

We discuss the most typical codes used in E&M and which codes to know for specific scenarios such as physical exams, consults, and admission. Dr. Trojan tells us some of the updates to E&M in 2021 for outpatient care. We talk about how E&M is useful when building relationships with referring doctors.

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RESOURCES

Dr. Trojan’s Youtube Video

https://tinyurl.com/b5pvbcer

Dr. Trojan’s Templates

Progress Notes:

https://tinyurl.com/2uzm6hua

Beck Outpatient Consultation:

https://tinyurl.com/uaukf7vc

Beck Inpatient Consult Note:

https://tinyurl.com/a7fupr67

Resident Time Phrases:

https://tinyurl.com/5uvxattn

Inpatient Consult:

https://tinyurl.com/2vebu7rz

SIR Toolkit

https://tinyurl.com/3ctz27a8

E&M Coding Education

https://emuniversity.com/

Financial Advising

https://www.edwardjones.com/us-en/financial-advisor/yaphet-tadesse