This curriculum will teach you all you need to know about performing and documenting inpatient E/M services for 2023 and beyond. This program includes the 2023 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: Learn about the most recent E/M coding updates for
2023. The pool of encounters which may
be documented using the 2021 guidelines has been greatly expanded to include
all E/M services in both the outpatient and inpatient settings. The extent of the history and physical exam
no longer affect the level of care selected, which is instead driven by time or
the medical decision-making required for each visit. There are new rules for calculating your
medical decision-making and a new convention for adding up time spent. There are also new codes for prolonged
services for both inpatients and outpatients.
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
Initial
Nursing Facility Care Services:
For the first time, initial nursing facility care services may be documented
using the 2021 E/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
