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F. CPT: E&M Medical Decision Making`
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- เผยแพร่เมื่อ 17 ส.ค. 2024
- In this video I discuss the Decision Making process of E&M coding. I give charts to assist with this process and I also use three examples to show how to use the charts.
Ding ding ding...light bulb moment! I've spent all day trying to read through about 25 pages of text, and literally 99 pages of Power Point trying to understand E/M. 3 of your videos, and it is beginning to click! Thank you thank you thank you!!!!!
You're welcome Helen Cherry. So glad I can help.
Your videos are a God send!!! Thank you!!
Thank you so much. You answered my question with your 3rd example.
The last E/M example is what they called leveling. For a new patient, when 3 of your key components does not match, you choose the lowest key code. For a establish patient that does not meet 2 of the 3 components, select the middle or second code.
whaaat
Thank u. I needed the clarification lol
Great Lecture
Thank you Nkechi Ka.
Im starting my first job had a coder and I feel so lost! Thanks for this!
You're welcome Jodie Gatz.
Thanks for this video really helpful
YOur welcome Bellokehinde Hassan.
God bless you sweet lady, you made this make sense.
Thank you Ranae Burgess.
Thank you ❤️
You are so welcome joanjoan2010.
you are an excellent 👩🏫 teacher
On the last example, how to you determine that 'moderate' is the correct choice?
I am confused on that one myself..
If not all elements are selected from category, you choose the second highest level.
I don’t understand this either
I am questioning that also. CPT states " To qualify for a given type of decision making, two of the three elements must be met or exceeded." In the third example, the "AMOUNT OF DATA TO CHECK" met LOW but then also exceeded LOW and bumped up to MODERATE. Since "RISK OF MORE SERIOUS ILLNESS OR DEATH" was categorized as LOW but never exceeded LOW I feel the third example would meet only the low complexity level decision making. Technically, all three met low complexity but only one surpassed MODERATE to bump up to HIGH. Can you clarify, Coach?!
Love this series of videos! This was the only part that had me stumped.This is literally the first time I've been able to wrap my head around E&M. Thank you!
In this example of an extensive number of diagnosis, a moderate level of amount of data and a low risk, then you take away the lowest, which is the low complexity and go with the next lowest which would make it moderate complexity. I am learning e/m coding in my course and this is how it was explained to me. I am slowly, very slowly, starting to grasp it!
Ma'am please make some ppt presentations that we can understand more easily.
Sorry. This was not a PowerPoint presentation.
sweet and simple
Yes Ma'am Anno Bonano.
in your chart C why did you choose moderate instead of high?
So is that a rule of thumb to always follow? you drop the High and the Low and choose Moderate or does this ever change when you have one from each category selected?
I am so happy to find you on this site. You have been very helpful and give great detail. My teacher gives our cpt coding class examples of all the levels of cpt coding e/m and it gets very confusing. What confuses me is how to determine between expanded problem focused history and detailed history. The same goes for the exam as well. Is there a better way to distinguish between the two. I understand what you are saying but when it is written out with so many details it starts to get very confusing. Again, thank you for your help. You are good at what you do...
A little confused. Maybe it would help if I was looking at progress notes and then I could go by the decision making chart.
Confused as well on the last example. Why Moderate?
because we have to take the least possible selection, and it is 2 out of 3, so we can take moderate column that consists of 2 out of 3 elements.
I broke it down like this: If one level is lower than the level it's ok, if one level is the same as the level it's met, if one level is higher than the level it's exceeded.
So what I’m understanding from the last example is that you drop the high and low which gets you to the 2 out of 3 for the right answer
You got it.
Yeah i got it after tis...tq
I am hating e/m so far, its just so confusing and getting a little frustrated. The pt charts don't give enough info it seems to determine some of these things!
Tina Hyde I definitely agree and I'm doing this course online... it's probably taking me longer than anyone to finish this course cause this course is hard! Doing it alone... they really do need more examples and explain better in detail... in these course books. The material is not breaking it down enough. I agree I am soo frustrated with this E&M. I am also having to look online to find videos to help me and the notes should have that in the course book further breaking it down and should have videos with I'm the course breaking it down as well in the online course. This is sad that I have to go to you tube to try to learn this course.
You are #Superfantastic!!!!
Thank you Sandra Collins.
It would be helpful to have an actual number system to follow ie. 1= straight forward, 2= low, 3= moderate, 4= high. So, if the chart gives us 2 diagnoses, we know that’s low. It still seems vague, because we the coder have to determine for ourselves if we think the risk is low, high, etc. 🤷🏻♀️🤦🏻♀️
Coders really do have a lot to do with the E&M code assignment. My rule of thumb is to stay consistent in what you do.
Should go into detail of what each element criteria is in order to get to S/L/M/H
thanks!
Be
I really do appreciate you for trying to break this down, but that last part is still confusing to me as well. I don't understand how you got moderate out of that as well. It needs to be broken down in a child form. But I do appreciate y'all for doing these videos! And taking out some of your time to do them. Just still confused.
Look Forward, it will take practice. Keep going over that video until it hits you. I promise with practice it will work.
Great video! Will you be doing billing soon?
medical billing
Thank you 😊
Your welcome Carita "COCO" Bartholomew.
Explaine only risk table for 15mins
Ok.
Very vague. Just guess
Mark Paycer that’s what it feels like to me too 🙁