📌📌 Register For The Free Masterclass - MedicalCodingMasterclass.com/ ================================= 😮🤩 Free Masterclass - Job Ready As A Medical Biller & Coder 😮🤩 I am doing a free masterclass on how you can become a Certified Medical Biller & Coder and be job-ready, In as little as 6 months, Without student loan debt or enrolling into a full-time college program. In the Masterclass, I talk about - 👉🏻 Medical Billing & Coding As A Career 👉🏻 Typical Workday As A Medical Coder 👉🏻 Industry Insights (Salary, Growth etc.) 👉🏻 How To Get The Right Training 👉🏻 How To Find A Discounted Training Program (Without Student Loan Debt ) 👉🏻 Why Financial Aid Can Actually Cost You More 👉🏻 What Do Employers Look For? And so much more. This FREE Masterclass is packed with information, and you'll have a complete roadmap on How You Can Be - \ Job Ready Certified Medical Biller & Coder, Without Student Loan Debt. 📌📌 Register For The Masterclass - MedicalCodingMasterclass.com/ See you there.
Thank you so much for your videos! May I ask: when does one use the E&M codes? Is it every time a patient is seen by a QHP? Can\when do we use them in conjunction with other CPT codes? I'm still just confused on the basics of when to use them. Thanks!
E&M stands for EVALUATION & MANAGEMENT. You use a code from this category when the Dr *evaluates & manages.* My guess is that's about 80% of the time? 🤔
Just wanted to say, as a newly certified coder, that I had to do some homework first before I was able to dive into this with you but I'm so glad I did. Your explanations were very clear and I could follow along. In fact, I used the information you provided to assemble a kind of guide, pairing the AMA definitions with the Names score sheet. Thanks for all your videos (I watched and followed along with them all) and for being a supporting presence.
Thank goodness for you and your videos, Victoria. I am feeling discouraged. I knew E and M would be difficult, but I feel so defeated right now. I am here to learn.
Thank you so much for these videos Victoria! You are the reason I finally took the plunge and took the CPC class and I have gotten through all chapters but E&M. I needed that 40,000 foot view of the progression of how E&M has evolved over the years. Feeling more confident I will see this to the end as I view these. Thanks again for taking the jungle of E&M to be more understandable. ✨💫
Victoria, you truly make learning fun and interesting. I really appreciate your clarity and the skill you have to breakdown something riddled with layers of complexity. You give specific examples for each E/M scenario that helps immensely to know what category something may generally fall into. Thanks a million! - VG (CPC-A)
These Videos are so helpful, I am on my last chapter in my CPC class through AAPC. I have been very pleased, but sometimes I am very overwhelmed. Especially with modifiers and guidelines, your videos make me a lot more relaxed. E/M is a tough chapter so thank you for this lesson.
I feel you. I still need to finish 19 & 20 and I'm so nervous. I always watch these videos at the end of each chapter and they have been a BIG help to understand and put together all the information
Great content and breaking the MDM methodology down with clinical examples helps. Thank you for the NAMAS MDM Chart link. These charts will be a big help with chart reviews and training. THANK YOU for always being a great resource for all things CODING related. I try not to miss any of your videos. There is always a coding tip or something I may not have known in each one.
Thanks so much, Victoria! The definitions of "Number and Complexity of Problems Addressed" according to AMA aren't specific enough for me! I hope that in the future, they provide clearer examples for each category.
Thank you for your great videos. Do you know of a nice chart like the NAMAS one you linked, but that is not in "lay terms?" We want the real words, i.e., "self-limited or minor," not "negligible or meager," etc. Thanks again!
I think what keeps popping into my mind for an acute illness w/systemic symptoms would be Lupus Erythematosus, or maybe Psoriasis, or Rheumatoid arthritis?
10:30 Is it me, or were only four listed instead of 5? Please correct me if I’m wrong and explain how I am because I have been going back and forth and can’t figure out where one was left out …
Same. She left off the first moderate criteria; 1 or more chronic illnesses with exacerbation, progression or side effects of treatment. It threw me off also! lol
How would you code a visit if the number of complexity is straightforward, data is limited and risk is moderate? Which one would I choose? This does not have 2 elements in common
1) if a patient have one acute uncomplicated illness and 2 or more stable chronic conditions what will be the level of e/m complexity? 2) if a patient has 2 0r more chronic condition with exacerbation and one acute complicated illness. What will be the level of complexity? 3)Is only primary diagnosis is considered choosing in level of complexity? Please help.
Hi Victoria! Thank you for the wonderful videos! If the scorecard are not allowed to bring for CPC exam? Is it allowed to just copy them to HCPCS Notes pages? 😅
Thank you! I listened to a webinar where they said that even though we can code based on time, the guidelines don’t specify exactly what needs to be documented in terms of time. So it was suggested that providers be more detailed when documenting time. In that case, is it safer to stick with MDM?
You mentioned the AMA guidelines that would be shown below. Are they the same as what is in the front of the CPT code book's section on E/M? Or is that a separate document you are referring to?
In New Mexico, Can you bill an EM service i.e 99205 for a Psychiatrist doing a psych evaluation, But the Psychiatrist is not a prescribing med provider.
A new patient is seen for a minimal, 1 self limited problem, but did have an x-ray. Does this bring the code from a 99202 to a 99203? Time was under 30 minutes. Thank you
You keep saying that emergency department billing is separate because you can only bill on MDM not time, but does that refer to a patient who is literally in the emergency department at the time of the E/M code or does it refer to a person doing the E/M code being an emergency medicine provider? What if I am a consultant doing a normal consult on a patient who is going to get admitted later but right now they’re in the ER.
Hi, Victoria I would like to know what books are the most current to purchase for medical billing and coding that I would need. I went to school in 2011 and finished the course and have a certificate. I would like to start training again so I can get employment. Can you assist me with this? I would Appreciate it very much. Thank you , Alicia D P
I am studying with AAPC, should I accept a job offer for Patient Access Representative? Would that help or hurt my chances of obtaining a Coding position? It is a lot lower pay that I am used to, but would this count as getting my "foot in the door" or would this just be another job with no track to Coding? Thank you for any advice.
Good evening Ms. Victoria, I have a question that makes me confused of understanding regarding of ICD-10-CM for I.A.19 Code assignment and Clinical Criteria, if the provider diagnosed a patient for Neoplasm of uncertain behaviour without pathology report. I need better understanding because is confused to me do I need to code Neoplasm of uncertain behaviour per the provider documented in A/P.
Hello, Victoria. I'm studying to sit for my CPC Exam and I thought the NAMAS Scoresheets would be helpful with my studies. However, I unable to access them because I am not affiliated with a company and I have no title. Do you know of another way to obtain the scoresheets? I always find your videos very helpful. Also, I appreciate any advice you can give me. Thank you, Kay
so with them eliminating their examples they give, are we allowed to write our own in so we have a rough idea? ill be taking the test come march, but dont want to have the proctor deny me if i write something im not supposed to.
"Handwritten notes are acceptable in the coding books only if they pertain to daily coding activities. Questions from the Study Guides, Practice Exams or the Exam itself are prohibited. Tabs may be inserted, taped, pasted, glued, or stapled in the manuals so long as the obvious intent of the tab is to earmark a page with words or numbers, not supplement information in the book. Altering, whiting out, painting, or printing over any pages within the code books (e.g., marketing pages, table of contents, reference pages, etc.) to supplement information is prohibited. No materials (other than tab dividers) may be inserted, taped, pasted, glued, or stapled in the manuals." Ref: www.aapc.com/certification/faq.aspx
Not for the CPC, no. For a complete list of approved and recommended resources, please refer to the "Approved Resources" document. aapcmarketing.s3.us-east-1.amazonaws.com/Examinee%20Instructions.pdf
■ 1 or more chronic illnesses with exacerbation, progression, or side effects of treatment; or ■ 2 or more stable, chronic illnesses; or ■ 1 undiagnosed new problem with uncertain prognosis; or ■ 1 acute illness with systemic symptoms; or ■ 1 acute, complicated injury
📌📌 Register For The Free Masterclass - MedicalCodingMasterclass.com/
=================================
😮🤩 Free Masterclass - Job Ready As A Medical Biller & Coder 😮🤩
I am doing a free masterclass on how you can become a Certified Medical Biller & Coder and be job-ready, In as little as 6 months, Without student loan debt or enrolling into a full-time college program. In the Masterclass, I talk about -
👉🏻 Medical Billing & Coding As A Career
👉🏻 Typical Workday As A Medical Coder
👉🏻 Industry Insights (Salary, Growth etc.)
👉🏻 How To Get The Right Training
👉🏻 How To Find A Discounted Training Program (Without Student Loan Debt )
👉🏻 Why Financial Aid Can Actually Cost You More
👉🏻 What Do Employers Look For? And so much more. This FREE Masterclass is packed with information, and you'll have a complete roadmap on How You Can Be - \ Job Ready Certified Medical Biller & Coder, Without Student Loan Debt.
📌📌 Register For The Masterclass - MedicalCodingMasterclass.com/ See you there.
Thank you so much for your videos! May I ask: when does one use the E&M codes? Is it every time a patient is seen by a QHP? Can\when do we use them in conjunction with other CPT codes? I'm still just confused on the basics of when to use them.
Thanks!
E&M stands for EVALUATION & MANAGEMENT. You use a code from this category when the Dr *evaluates & manages.* My guess is that's about 80% of the time? 🤔
Just wanted to say, as a newly certified coder, that I had to do some homework first before I was able to dive into this with you but I'm so glad I did. Your explanations were very clear and I could follow along. In fact, I used the information you provided to assemble a kind of guide, pairing the AMA definitions with the Names score sheet. Thanks for all your videos (I watched and followed along with them all) and for being a supporting presence.
Thank goodness for you and your videos, Victoria. I am feeling discouraged. I knew E and M would be difficult, but I feel so defeated right now. I am here to learn.
Thank you so much for these videos Victoria! You are the reason I finally took the plunge and took the CPC class and I have gotten through all chapters but E&M. I needed that 40,000 foot view of the progression of how E&M has evolved over the years. Feeling more confident I will see this to the end as I view these. Thanks again for taking the jungle of E&M to be more understandable. ✨💫
You are so welcome!
I feel like I just “relearned” so much in a different way! Great information, even for seasoned coders! Love your videos!
Victoria, you truly make learning fun and interesting. I really appreciate your clarity and the skill you have to breakdown something riddled with layers of complexity. You give specific examples for each E/M scenario that helps immensely to know what category something may generally fall into. Thanks a million! - VG (CPC-A)
These Videos are so helpful, I am on my last chapter in my CPC class through AAPC. I have been very pleased, but sometimes I am very overwhelmed. Especially with modifiers and guidelines, your videos make me a lot more relaxed. E/M is a tough chapter so thank you for this lesson.
I feel you. I still need to finish 19 & 20 and I'm so nervous. I always watch these videos at the end of each chapter and they have been a BIG help to understand and put together all the information
Thanks so much for this! Im taking my CPC exam tomorrow and these new E/M videos are helping a ton with my last minute study session!
Im taking my cpc tomorrow as well. Any insights on how yours went?
Great content and breaking the MDM methodology down with clinical examples helps. Thank you for the NAMAS MDM Chart link. These charts will be a big help with chart reviews and training. THANK YOU for always being a great resource for all things CODING related. I try not to miss any of your videos. There is always a coding tip or something I may not have known in each one.
Thanks for this very informative review of the E/M MDM table. Very helpful!
Thanks for the video it really helped me a lot.
Thank you! So helpful
Thanks so much, Victoria! The definitions of "Number and Complexity of Problems Addressed" according to AMA aren't specific enough for me! I hope that in the future, they provide clearer examples for each category.
@mebjones83 I agree. More examples would be helpful. Thanks
Thanks Victoria this has been extremely helpful for me.
Thank you for all your help
Thanks Victoria, E and M is always the part I’m struggling
Thank you for your videos, they are appreciated. I can’t wait for the data video….my struggle
You Made Medical Coding So Easy, Thanks Victoria Sharing Such Informative Vedios, Appreciate your efforts. Please keep Posting.......Great Job !!
Very nice … need more examples on table 2.
Thanks. I still find these so difficult. I always just miss the mark
same with me too 🤦🏼♀️
Excellent
Thank you! Cheers!
Thank you for your great videos. Do you know of a nice chart like the NAMAS one you linked, but that is not in "lay terms?" We want the real words, i.e., "self-limited or minor," not "negligible or meager," etc. Thanks again!
Thank you so much! I downloaded the AMA guidelines. Is that what is in the E/M companion book, or does it have additional information?
I think what keeps popping into my mind for an acute illness w/systemic symptoms would be Lupus Erythematosus, or maybe Psoriasis, or Rheumatoid arthritis?
10:30 Is it me, or were only four listed instead of 5? Please correct me if I’m wrong and explain how I am because I have been going back and forth and can’t figure out where one was left out …
Same. She left off the first moderate criteria; 1 or more chronic illnesses with exacerbation, progression or side effects of treatment. It threw me off also! lol
Risk
I read the lack of examples in the grid is intentional. It's based on clinician judgment within patient conext.
-AMA clarifications.
👍
Yes which is annoying when your manager refuses to tell the doctors they need to document the risk for you.
How would you code a visit if the number of complexity is straightforward, data is limited and risk is moderate? Which one would I choose? This does not have 2 elements in common
1) if a patient have one acute uncomplicated illness and 2 or more stable chronic conditions what will be the level of e/m complexity?
2) if a patient has 2 0r more chronic condition with exacerbation and one acute complicated illness. What will be the level of complexity?
3)Is only primary diagnosis is considered choosing in level of complexity?
Please help.
I love your videos!!!.....do you conduct actual tutorials? I'd be the first to join!!
Hi Victoria! Thank you for the wonderful videos! If the scorecard are not allowed to bring for CPC exam? Is it allowed to just copy them to HCPCS Notes pages? 😅
Thank you! I listened to a webinar where they said that even though we can code based on time, the guidelines don’t specify exactly what needs to be documented in terms of time. So it was suggested that providers be more detailed when documenting time. In that case, is it safer to stick with MDM?
I would strongly encourage to work with your MAC and insurance carriers on the specifics of what they would accept for time documentation.
@@ContempoCoding thank you!
Hi is there an e/m calculator that you can recommend besides the aapc one? Thanks
You mentioned the AMA guidelines that would be shown below. Are they the same as what is in the front of the CPT code book's section on E/M? Or is that a separate document you are referring to?
In New Mexico, Can you bill an EM service i.e 99205 for a Psychiatrist doing a psych evaluation, But the Psychiatrist is not a prescribing med provider.
Can I use my 2021 cpt book for an assessment?
A new patient is seen for a minimal, 1 self limited problem, but did have an x-ray. Does this bring the code from a 99202 to a 99203? Time was under 30 minutes. Thank you
Have you seen codes yet for the COVID vaccine injured? Others are saying that there aren't any. Thoughts?
No clue, haven't seen it.
Where did you get those cards?
Can you please give some more examples of Acute illness with systemic symptoms.
codingintel.com/acute-uncomplicated-vs-acute-systemic-symptoms/
for your classes do you give CEU's
So for a gi bleed that would most likely be a moderate problem correct?
Depends.
@Contempo Coding thanks been so confused lately especially the data category
You keep saying that emergency department billing is separate because you can only bill on MDM not time, but does that refer to a patient who is literally in the emergency department at the time of the E/M code or does it refer to a person doing the E/M code being an emergency medicine provider? What if I am a consultant doing a normal consult on a patient who is going to get admitted later but right now they’re in the ER.
Kind of off topic.. but, with all your credentials how do you get in all you CEUs. What’s your advice?
Hi, Victoria I would like to know what books are the most current to purchase for medical billing and coding that I would need. I went to school in 2011 and finished the course and have a certificate. I would like to start training again so I can get employment. Can you assist me with this? I would
Appreciate it very much. Thank you , Alicia D P
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I am studying with AAPC, should I accept a job offer for Patient Access Representative? Would that help or hurt my chances of obtaining a Coding position? It is a lot lower pay that I am used to, but would this count as getting my "foot in the door" or would this just be another job with no track to Coding? Thank you for any advice.
Personally I say yes! You would still be looking at insurance information and possibly procedure codes, so anything in the medical field helps IMO.
What is difference between critical service and ER
Can you make a video on the new guidelines please
This is it. These are the new E&M guidelines.
I do not see where we can get the Namis score cards for 2023, if you could be so kind to tag me, that would be great!
NAMAS scoresheets - app.hatchbuck.com/OnlineForm/93633622693
Good evening Ms. Victoria, I have a question that makes me confused of understanding regarding of ICD-10-CM for I.A.19 Code assignment and Clinical Criteria, if the provider diagnosed a patient for Neoplasm of uncertain behaviour without pathology report. I need better understanding because is confused to me do I need to code Neoplasm of uncertain behaviour per the provider documented in A/P.
This video on skin lesions may be of assistance: ruclips.net/video/EHsyCqGFTNg/видео.html
The provider statement is sufficient.
Hello, Victoria. I'm studying to sit for my CPC Exam and I thought the NAMAS Scoresheets would be helpful with my studies. However, I unable to access them because I am not affiliated with a company and I have no title. Do you know of another way to obtain the scoresheets? I always find your videos very helpful. Also, I appreciate any advice you can give me. Thank you, Kay
Your would just fill in "n/a " for not applicable for those parts.
@@ContempoCoding I GOT THEM!!! Thank you so much!!
Hi - where can I find the link for the 2023 AMA E/M guidelines?
www.ama-assn.org/system/files/2023-e-m-descriptors-guidelines.pdf
so with them eliminating their examples they give, are we allowed to write our own in so we have a rough idea? ill be taking the test come march, but dont want to have the proctor deny me if i write something im not supposed to.
"Handwritten notes are acceptable in the coding books only if they pertain to daily coding activities. Questions from the Study Guides, Practice Exams or the Exam itself are prohibited. Tabs may be inserted, taped, pasted, glued, or stapled in the manuals so long as the obvious intent of the tab is to earmark a page with words or numbers, not supplement information in the book. Altering, whiting out, painting, or printing over any pages within the code books (e.g., marketing pages, table of contents, reference pages, etc.) to supplement information is prohibited.
No materials (other than tab dividers) may be inserted, taped, pasted, glued, or stapled in the manuals."
Ref: www.aapc.com/certification/faq.aspx
Will I be able to bring the printed copy of the guidelines to the exam?
Not for the CPC, no. For a complete list of approved and recommended resources, please refer to the "Approved Resources" document. aapcmarketing.s3.us-east-1.amazonaws.com/Examinee%20Instructions.pdf
Hi I'm from india and I'm learning medicalcoding ... I would like to do wfh after complete my cpc exam... Is it possible?
That depends entirely on the individual company and if they permit whf in your country.
Where can I get one
One what?
Ok you had me at crappy insurance company. 😂
Hi!
You said there were 5 ways to meet criteria for moderate level, but you only listed 4.. unless I totally missed it?
■ 1 or more chronic illnesses with exacerbation, progression, or side effects of treatment; or ■ 2 or more stable, chronic illnesses; or ■ 1 undiagnosed new problem with uncertain prognosis; or ■ 1 acute illness with systemic symptoms; or ■ 1 acute, complicated injury
@@ContempoCoding thank you!