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the hospitalist e/m cOdING curriculum

The Hospitalist E/M Coding Curriculum

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This curriculum will teach you all you need to know about performing and documenting all hospital-based E/M services.  The program begins with two introductory courses (The Basic Course and Rational Physician Coding for Hospitalist E/M Services), before covering all hospital-based encounters in detail, using clinical examples to illustrate each level of care.  It includes modules on admission H&Ps, hospital progress notes, observation care services, consult services, emergency department E/M services, academic E/M services and critical care.  Where applicable, there are two versions of each module, one for the 1997 E/M guidelines and one for the 1995 E/M guidelines.  This curriculum is made up of 18 individual video tutorials and has been approved for 14.5 hours of AMA PRA Category 1 CME Credit™

Author/Presenter: Peter R. Jensen, MD, CPC | Dir. of E/M Compliance YNHH Hospitalist Service

Format: Self-paced video tutorial (runs in the browser of any PC, Mac, tablet or smart phone)

Target Audience: Physicians, Physician Assistants, Nurse Practitioners, Coders, Office Managers

Total Number of Modules: 18

CME: AMA PRA Category 1 Credits™ (14.50 hours)

Accreditation: Yale University School of Medicine Continuing Medical Education
 

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Course Catalog


The Basic Course:    |    Run Time: 1:00:40    |    CME: 1 hour

This course explains the nuts and bolts of coding and documenting encounters using the 1995 and 1997 E/M guidelines, which are still operative for hospital-based E/M visits. We review the key components of history, physical exam and medical decision-making, which form the building blocks of the documentation when using the 1995 or 1997 rules to record your patient encounters.

The Hospitalist Course (1997):    |    Run Time: 42:59    |    CME: 1 hour

This course uses the 1997 E/M guidelines to show how to find the correct level of care for any encounter by focusing on the medical decision-making first, then illustrates how to perform and document the history and exam in a purpose-driven manner to make sure those elements are congruent with the E/M code being reported.

The Hospitalist Course (1995):    |    Run Time: 44:41    |    CME: 1 hour

This course uses the 1995 E/M guidelines to show how to find the correct level of care for any encounter by focusing on the medical decision-making first, then illustrates how to perform and document the history and exam in a purpose-driven manner to make sure those elements are congruent with the E/M code being reported.

Admission H&Ps (1997):    |    Run Time: 32:47    |    CME: 0.5 hour

This course uses the 1997 E/M guidelines to show how to find the "correct" level of care for admission H&Ps. We review the process of using the MDM to point you toward a target code, then take you step-by-step through the documentation of all three levels of care for these encounters.

Admission H&Ps (1995):    |    Run Time: 32:44    |    CME: 0.5 hour

This course uses the 1995 E/M guidelines to show how to find the "correct" level of care for admission H&Ps. We review the process of using the MDM to point you toward a target code, then take you step-by-step through the documentation of all three levels of care for these encounters.

Hospital Progress Notes (1997):    |    Run Time: 35:08    |    CME: 0.5 hour

This course uses the 1997 E/M guidelines to show how to find the "correct" level of care for hospital progress notes. We review the process of using the MDM to point you toward a target code, then take you step-by-step through the documentation of all three levels of care for these encounters.

Hospital Progress Notes (1995) :    |    Run Time: 35:53    |    CME: 0.5 hour

This course uses the 1997 E/M guidelines to show how to find the "correct" level of care for hospital progress notes. We review the process of using the MDM to point you toward a target code, then take you step-by-step through the documentation of all three levels of care for these encounters.

The Consult Course (1997) :    |    Run Time: 54:36    |    CME: 1 hour

This course reviews the rules and conventions for consult services and then takes you step by step through all five levels of care using the 1997 E/M guidelines.

The Consult Course (1995) :    |    Run Time: 54:54    |    CME: 1 hour

This course reviews the rules and conventions for consult services and then takes you step by step through all five levels of care using the 1995 E/M guidelines.

Critical Care :    |    Run Time: 38:51    |    CME: 0.5 hour

This course covers critical care, timed E/M services, prolonged services and discharge services. Each topic is illustrated by clinical examples and includes expert insights and tips to ensure you are getting full credit for the time you devote to taking care of your patients.

The ER Course (1997):    |    Run Time: 50:32    |    CME: 1 hour

This course takes you step-by-step through all five levels of care for emergency department E/M services using the 1997 E/M guidelines.

The ER Course (1995):    |    Run Time: 50:42    |    CME: 1 hour

This course takes you step-by-step through all five levels of care for emergency department E/M services using the 1995 E/M guidelines.

The Faculty Course (1997):    |    Run Time: 54:13    |    CME: 1 hour

This course reviews the rules and conventions for providing collaborative E/M services between attending physicians and house staff using the 1997 E/M guidelines from the attending physician's point of view. Clinical examples are used to illustrate the documentation required to tether the resident note to the attendings attestation.

The Faculty Course (1995):    |    Run Time: 55:55    |    CME: 1 hour

This course reviews the rules and conventions for providing collaborative E/M services between attending physicians and house staff using the 1995 E/M guidelines from the attending physician's point of view. Clinical examples are used to illustrate the documentation required to tether the resident note to the attending's attestation.

The Resident Course (1997) :    |    Run Time: 51:24    |    CME: 1 hour

This course reviews the rules and conventions for providing collaborative E/M services between attending physicians and house staff using the 1997 E/M guidelines from the resident's point of view. Clinical examples are used to illustrate the documentation required to tether the resident note to the attending's attestation.

The Resident Course (1995) :    |    Run Time: 54:08    |    CME: 1 hour

This course reviews the rules and conventions for providing collaborative E/M services between attending physicians and house staff using the 1995 E/M guidelines from the resident's point of view. Clinical examples are used to illustrate the documentation required to tether the resident note to the attending's attestation.

Observation Care Services (1997) :    |    Run Time: 37:17    |    CME: 0.5 hour

Although they usually take place within a hospital, observation care services are considered outpatient encounters. This course will take you through the documentation requirements for all levels of care for initial and subsequent observation care services as well as observation discharge services using the 1997 E/M guidelines.

Observation Care Services (1995) :    |    Run Time: 34:12    |    CME: 0.5 hour

This course will take you through the documentation requirements for all levels of care for initial and subsequent observation care services as well as observation discharge services using the 1995 E/M guidelines.


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