Class Description

Class Description Evaluation / Management Auditing and Abstracting Course

Prerequisites:

Attendance in a Medical Terminology Anatomy/Physiology Course

Attendance in the Professional Medical Coder CPC Preparation Course or being CPC Certified through the AAPC

(Exceptions are made for Physicians and Medical Office Managers who require this class)

DESCRIPTION

Evaluation/Management Auditing and Abstracting Course

This course utilizes the Evaluation & Management Auditing and Abstracting Book by Lynn Schoeler, CPC, COC, CPC-I. During this course the student will learn to determine the level of service for a physician’s face to face encounter in either the outpatient office setting or the inpatient environment. Both the “95” and “97” Documentation Guidelines are taught in this course.

Objective

The student will be able to read a medical record and abstract the information to determine what services were provided to the patient. The student will be able to determine the level of History for the patient encounter as well as determine the extent of the Physical Examination performed. The student will also be able to determine the amount of Medical Decision Making done by the provider ultimately determining the level of the service based on the Medical Decision Making Process. Students will be able to apply the Medicare Coding Guidelines when selecting the appropriate service code. This course also covers chart audits and how to perform a target physician meeting to improve physician documentation.

Clock Hours

Classroom Hours 42 Outside Hours 3 Total Hours 45
Textbooks are included in the course Fee
Program Cost if enrolled in the Program is $300.00
Cost taken separately as a CEU Class $525.00

Online courses start at the beginning of each month for live classes see the Calendar