This curriculum will teach you all you need to know about performing and documenting inpatient E/M services for 2024 and beyond. This program includes the 2024 E/M Coding Update Course, plus individual modules for the most common inpatient encounters. Using clinical examples, we show you step-by-step how to select the correct level of care for every encounter and then how to document the visit as expeditiously as possible. This curriculum is made up of 6 individual video tutorials and has been approved for 5.5 hours of AMA PRA Category 1 CME Credit™ Author/Presenter: Peter R. Jensen, MD, CPC | Director 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: 6 CME: AMA PRA Category 1 Credits™ (5.5 hours) Accreditation: Yale University School of Medicine Continuing Medical Education

Accreditation Statement The Yale University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. These educational activities are designated for maximum AMA PRA Category 1 Credits™ (as noted on each course). Designation Statement The Yale School of Medicine designates this on-line activity for a maximum of 1.0 AMA PRA Category 1 Credits™ per session, a total of 5.5 AMA PRA Category 1 Credits™ for the series. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Disclosure Statement It is the policy of Yale School of Medicine, Continuing Medical Education (CME), to ensure balance, independence, objectivity, and scientific rigor in all its educational programs.  All individuals involved in the development and presentation of Accredited Continuing Education activities are required to disclose all financial relationship(s) with ineligible companies that has occurred within the past 24 months; and the opportunity to affect the content of CME about the products or services of the commercial interests. This information is disclosed to all activity participants prior to the commencement of the educational activity. Faculty Planner/Developer – Peter R. Jensen, MD, CPC – No financial relationships. CME Survey In order to claim CME credit, you must complete the survey below. The survey only has to be completed one time in order to access all your certificates.

E/M Coding Update (2024): Learn about the most recent E/M coding updates for 2024  There is new convention for times assigned to new and established office visits.  There is also new guidance regarding billing for split/shared services (different rules for the AMA vs. Medicare).  The biggest news for 2024 is that the new G code for medical complexity and/or primary care (G2211) goes live on January 1, 2024.  This code will compensate physicians for performing primary care and for addressing complex medical problems on a longitudinal basis and pays about $16.  This course explains it all.  

Run time: 61 minutes.                                           CME: 1 hour of AMA PRA Category 1 CME

Initial Hospital Care Services:  For the first time, admission H&Ps may be documented using the 2021 E/M guidelines.  These codes are now used for reporting initial hospital care services for both inpatients and observation care patients.  The level of care is now driven by time or the medical decision-making needed for the visit.  This course will show you how to add up time for initial hospital care services and how to calculate your medical decision-making so you can always select the correct code for these services.  Using clinical examples, we illustrate exactly what documentation is needed for each level of care for admission H&Ps.  The latest guidance for reporting prolonged services with these encounters is also discussed.

Run time: 54 minutes.                                           CME: 1 hour AMA PRA Category 1 CME

Hospital Progress Notes:  For the first time, hospital progress notes may be documented using the 2021 E/M guidelines.  These codes are now used for reporting subsequent hospital care services for both inpatients and observation care patients.  The level of care is now driven by time or the medical decision-making needed for the visit.  This course will show you how to add up time for subsequent hospital care services and how to calculate your medical decision-making so you can always select the correct code for these services.  Using clinical examples, we illustrate exactly how to add up your medical decision-making for all levels of care and then how to document each visit as efficiently as possible to maintain compliance.   The latest guidance for reporting prolonged services with these encounters is also discussed.

Run time: 54 minutes.                                           CME: 1 hour AMA PRA Category 1 CME

Emergency Department E/M Services:  For the first time, emergency department E/M services may be documented using the 2021 E/M guidelines.  The previous requirements for specific levels of history and physical exam have been discarded.  The level of care is now driven solely by the medical decision-making needed for the visit.  This course will show you how to calculate your medical decision-making so you can always select the correct code for these services.  Using clinical examples, we illustrate how to choose the right code for each visit and then how to perform and document a medically appropriate history and exam.

Run time: 49 minutes.                                           CME: 1 hour AMA PRA Category 1 CME

Inpatient Consult Services:  For the first time, inpatient consult services may be documented using the 2021 E/M guidelines.  The level-1 inpatient consult code (99251) has been deleted, which leaves us with four levels of care for these services.  The previous requirements for specific levels of history and physical exam have been discarded.  The level of care is now driven by time or by the medical decision-making required for the visit.  These courses will show you how to calculate your medical decision-making so you can always select the correct code for these visits.  Using clinical examples, we illustrate how to document each level of care for outpatient consult services.  The appropriate codes to use when performing “consults” on Medicare patients in the hospital setting is also discussed.

Run time: 53 minutes.                                           CME: 1 hour AMA PRA Category 1 CME

Critical Care Services: Learn how to apply the most recent E/M coding updates and guidance to critical care services.  Did you know that Medicare adds up critical care time differently than the AMA CPT Manual?  Can critical care be a split/shared service?  What happens when I cross midnight while performing critical care?  Can two doctors in the same group aggregate their critical care time on the same date?  Get the answers to these questions and more in this concise, clinically based presentation featuring the latest updates and clarifications regarding critical care services. 

 

Run time: 24 minutes                                           CME: 1/2 hour AMA PRA Category 1 CME

Prolonged Services: This course reviews the rules for coding for prolonged services in both the outpatient and inpatient settings. There are two methodologies for coding for prolonged services, one endorsed by the AMA and one endorsed by Medicare. Medicare will ONLY pay for their G codes for prolonged services. This course will take you through the requirements for prolonged services for all outpatient and inpatient encounters.

Run time: 30 minutes                                           CME: 1/2 hour AMA PRA Category 1 CME

Initial Nursing Facility Care Services:  For the first time, initial nursing facility care services may be documented using the 2021E/M guidelines.  There are three levels of care for these services.  The previous requirements for specific levels of history and physical exam have been discarded.  The level of care is now driven by time or by the medical decision-making required for the visit.  These courses will show you how to calculate your medical decision-making so you can always select the correct code for these visits.  Using clinical examples, we illustrate how to document each level of care for initial nursing facility care services.  The rules for reporting prolonged services in the nursing facility setting are also discussed, as well as the most recent guidance on nursing facility discharge services. 

Run time: 57 minutes.                                                  CME: 1 hour AMA PRA Category 1 CME

 

Subsequent Nursing Facility Care Services:  For the first time, subsequent nursing facility care services may be documented using the 2021 E/M guidelines.  There are four levels of care for these services.  The previous requirements for specific levels of history and physical exam have been discarded.  The level of care is now driven by time or by the medical decision-making required for the visit.  These courses will show you how to calculate your medical decision-making so you can always select the correct code for these visits.  Using clinical examples, we illustrate how to document each level of care for subsequent nursing facility care services.  The rules for reporting prolonged services in conjunction with subsequent nursing facility services are also discussed. 

Run time: 59 minutes.                                                  CME: 1 hour AMA PRA Category 1 CME