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the Hospitalist curriculum
 

 

Effective January 1, 2023, this information is no longer up-to-date. The material on this page covers only the 1995 and 1997 E/M guidelines and is no longer accurate. A new set of E/M guidelines was released in 2021, with some minor modifcations added for 2023. These new guidelines are now used to document all encounters in both the outpatient and inpatient settings. For the most recent E/M coding guidance, visit our home page here.

 

Video Tutorials Included in this Curriculum

 
The Basic Course
 
Rational Physician Coding for Hospitalist E/M Services
 
Admission H&Ps
Basic   Hospital   HandP
Basic Course Preview
 
Hospitalist Preview
 
H&P Preview
This course teaches you everything you need to know about the 1995 and 1997 E/M guidelines. Learn how to document the history and physical exam and how to quanitfy your medical decision-making. You are probably over-documenting!   Learn how to select the "correct" level of care for every encounter based on the cognitive labor provided. Then perform and document the history and exam in a purpose-driven manner to ensure compliance.   Step-by-step, learn how to perform and document the key components correctly for all three levels of care for admission H&Ps. You will also see how to avoid the most common catastrophic documentation errors for these visits.
 
Hospital Progress Notes
 
E/M Consult Services
 
Critical Care and Other Timed Services
Progress   Consult   Critical
Progress Notes Preview
 
Consult Course Preview
 
Critical Care Course Preview
These are the most common hospital encounters. Most doctors over-document and under-code for these services. This course will show you how to avoid this trap and save time while increasing reimbursement.   Although Medicare no longer pays for consult services, some private payers still do. But beware. Auditors love to downcode these visits when doctors don't include the exact right terminology. Learn to get it right.   What is critical care? What needs to be documented? What is needed for prolonged services? Using real-life examples, you will get the answers to these questions and more from this course.
 
Emergency Department E/M Services
 
The Faculty Course
 
Observation Care Services
ER   Faculty   Obs
ER Preview
 
Faculty Course Preview
 
Observation Course Preview
You spend a lot of time in the ER so you might as well get paid for it. Emergency room visits are not just for ER docs any more! Hospitalists now have to use these codes when performing "consults" on patients in the ER.   The rules are a little different for documenting E/M services while working with medical students, interns and residents. Learn how house staff can help you complete the documentation for academic E/M services.   The observation rules have recently been changed. Did you know there is a whole new set of codes for observation "progress notes?" See when to use the observation codes and how to complete the documentation correctly.
 
 
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Click to return to E/M University Home page, EM Coding Education