{"id":17558,"date":"2025-03-06T21:27:49","date_gmt":"2025-03-06T21:27:49","guid":{"rendered":"https:\/\/medsafe5stg.wpenginepowered.com\/?page_id=17558"},"modified":"2025-05-09T15:10:55","modified_gmt":"2025-05-09T19:10:55","slug":"em-audit-training","status":"publish","type":"page","link":"https:\/\/medsafe.com\/em-audit-training\/","title":{"rendered":"E&#038;M Audit and Training"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"17558\" class=\"elementor elementor-17558\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6af2e12 e-flex e-con-boxed e-con e-parent\" data-id=\"6af2e12\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e49fea0 elementor-widget elementor-widget-heading\" data-id=\"e49fea0\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">E&amp;M Audit and Training<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4c8a6b8 elementor-align-left elementor-widget elementor-widget-breadcrumbs\" data-id=\"4c8a6b8\" data-element_type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p id=\"breadcrumbs\"><span><span><a href=\"https:\/\/medsafe.com\/\">Home<\/a><\/span><\/span><\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1898413 e-flex e-con-boxed e-con e-parent\" data-id=\"1898413\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1017a36 elementor-widget elementor-widget-heading\" data-id=\"1017a36\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">General Information<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-128b477 elementor-widget__width-initial contr elementor-widget elementor-widget-text-editor\" data-id=\"128b477\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div id=\"cmsmasters_row_vbpffagmno\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\"><div class=\"cmsmasters_row_outer_parent\"><div class=\"cmsmasters_row_outer\"><div class=\"cmsmasters_row_inner\"><div class=\"cmsmasters_row_margin cmsmasters_11\"><div id=\"cmsmasters_column_v7zzhi8c1w\" class=\"cmsmasters_column one_first\"><div class=\"cmsmasters_column_inner\"><div class=\"cmsmasters_text\"><p>The billing conventions for evaluation and management (E\/M) services in the teaching setting are based on what is defined under the guidelines as \u201ckey components\u201d.<\/p><p>Those components are history, physical examination, and medical decision making. A fourth component, time, is applicable for visits that are mainly counseling and\/or coordinating care and is considered to be the controlling element under those circumstances.<\/p><p>Depending on the site and type of service, the physician must meet stated criteria on all three key components or two of the three key components.<\/p><p>Evaluation &amp; Management CPT Codes are 5-digit numeric codes which are found in the Evaluation and Management (a.k.a. E&amp;M) section of a CPT-4 book.<\/p><p>This section is most often found at the front of CPT-4 books, regardless of the publisher or vendor, since this is the section most frequently used by providers of all specialities.<\/p><p>The E&amp;M section contains all the different ways a provider can bill for evaluations of a patient that do not require a procedure. Examples include office visits, consultations, and annual physicals.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-140c982 elementor-widget elementor-widget-heading\" data-id=\"140c982\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">The E&amp;M Section of the CPT-4 Book Contains the Following:\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8972591 elementor-widget__width-initial contr elementor-widget elementor-widget-text-editor\" data-id=\"8972591\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div id=\"cmsmasters_row_vbpffagmno\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\"><div class=\"cmsmasters_row_outer_parent\"><div class=\"cmsmasters_row_outer\"><div class=\"cmsmasters_row_inner\"><div class=\"cmsmasters_row_margin cmsmasters_11\"><div id=\"cmsmasters_column_v7zzhi8c1w\" class=\"cmsmasters_column one_first\"><div class=\"cmsmasters_column_inner\"><div class=\"cmsmasters_text\"><ul><li>Office &amp; Outpatient<\/li><li>Services<\/li><li>Observation<\/li><li>Inpatient<\/li><li>Consultations<\/li><li>ER<\/li><li>Critical Care<\/li><li>Neonatal Intensive Care<\/li><li>Domicillary, Rest Home,<\/li><li>Custodial Care<\/li><li>Home Services<\/li><li>Prolonged Services<\/li><li>Case Management<\/li><li>Services<\/li><li>Care Plan Oversight<\/li><li>Preventative Medicine<\/li><li>Services<\/li><li>Newborn Care<\/li><li>Special Evaluation &amp;<\/li><li>Management Services<\/li><li>Other Evaluation &amp; Management Services<\/li><\/ul><p>\u00a0<\/p><p>The physical examination is another key component of E\/M services. Under current CMS guidelines, there are two options to meet documentation requirements:<\/p><p>1. the 1995 guidelines<\/p><p>2. the 1997 variation<\/p><p>CMS has instructed regional carriers to audit documentation against both sets of guidelines and allow the one most advantageous to the physician. This course will focus exclusively on the 1995 guidelines.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-94c0408 elementor-widget elementor-widget-heading\" data-id=\"94c0408\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">For purposes of examination, the following body areas are recognized:\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e2a7fbd elementor-widget__width-initial contr elementor-widget elementor-widget-text-editor\" data-id=\"e2a7fbd\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div id=\"cmsmasters_row_vbpffagmno\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\"><div class=\"cmsmasters_row_outer_parent\"><div class=\"cmsmasters_row_outer\"><div class=\"cmsmasters_row_inner\"><div class=\"cmsmasters_row_margin cmsmasters_11\"><div id=\"cmsmasters_column_v7zzhi8c1w\" class=\"cmsmasters_column one_first\"><div class=\"cmsmasters_column_inner\"><div class=\"cmsmasters_text\"><ul><li>Head, including the face<\/li><li>Neck<\/li><li>Chest, including breasts and axillae<\/li><li>Abdomen<\/li><li>Genitalia, groin, buttocks<\/li><li>Back, including spine<\/li><\/ul><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5e4b50b elementor-widget elementor-widget-heading\" data-id=\"5e4b50b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What\u2019s included in our program:\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9ccab17 elementor-widget__width-initial contr elementor-widget elementor-widget-text-editor\" data-id=\"9ccab17\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div id=\"cmsmasters_row_vbpffagmno\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\"><div class=\"cmsmasters_row_outer_parent\"><div class=\"cmsmasters_row_outer\"><div class=\"cmsmasters_row_inner\"><div class=\"cmsmasters_row_margin cmsmasters_11\"><div id=\"cmsmasters_column_v7zzhi8c1w\" class=\"cmsmasters_column one_first\"><div class=\"cmsmasters_column_inner\"><div class=\"cmsmasters_text\"><ul><li>E&amp;M Trending<\/li><li>Review of documentation<\/li><li>Report to show coding accuracy<\/li><li>1-on-1 meeting with the reviewer to discuss the findings<\/li><\/ul><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-184c170 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"184c170\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"\/contact-us\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Get Started with Compliance Solutions<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-80187cf e-flex e-con-boxed e-con e-parent\" data-id=\"80187cf\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-614fe40 e-con-full e-flex e-con e-child\" data-id=\"614fe40\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-2ecdfb9 e-con-full e-flex e-con e-child\" data-id=\"2ecdfb9\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca08130 elementor-widget elementor-widget-heading\" data-id=\"ca08130\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Ready to Get Started?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ce0513 porgh elementor-widget elementor-widget-text-editor\" data-id=\"7ce0513\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Contact us today to learn how we can help your practice maintain complete compliance.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-52af67c elementor-align-center elementor-widget elementor-widget-button\" data-id=\"52af67c\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"\/contact-us\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Schedule a Consultation<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7e928aa e-con-full e-flex e-con e-child\" data-id=\"7e928aa\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-c6d7e5d e-con-full e-flex e-con e-child\" data-id=\"c6d7e5d\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-552323d e-con-full e-flex e-con e-child\" data-id=\"552323d\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5cac9d9 elementor-widget elementor-widget-counter\" data-id=\"5cac9d9\" data-element_type=\"widget\" data-widget_type=\"counter.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-counter\">\n\t\t\t<div class=\"elementor-counter-title\">Expert Support<\/div>\t\t\t<div class=\"elementor-counter-number-wrapper\">\n\t\t\t\t<span class=\"elementor-counter-number-prefix\"><\/span>\n\t\t\t\t<span class=\"elementor-counter-number\" data-duration=\"2000\" data-to-value=\"24\" data-from-value=\"0\" data-delimiter=\",\">0<\/span>\n\t\t\t\t<span class=\"elementor-counter-number-suffix\">\/7<\/span>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6af88ec e-con-full e-flex e-con e-child\" data-id=\"6af88ec\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e4a225a elementor-widget elementor-widget-counter\" data-id=\"e4a225a\" data-element_type=\"widget\" data-widget_type=\"counter.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-counter\">\n\t\t\t<div class=\"elementor-counter-title\">Compliance Rate<\/div>\t\t\t<div class=\"elementor-counter-number-wrapper\">\n\t\t\t\t<span class=\"elementor-counter-number-prefix\"><\/span>\n\t\t\t\t<span class=\"elementor-counter-number\" data-duration=\"2000\" data-to-value=\"100\" data-from-value=\"0\" data-delimiter=\",\">0<\/span>\n\t\t\t\t<span class=\"elementor-counter-number-suffix\">%<\/span>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-cb8c6c8 e-con-full e-flex e-con e-child\" data-id=\"cb8c6c8\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4b0e5cc e-con-full e-flex e-con e-child\" data-id=\"4b0e5cc\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-19403d3 elementor-widget elementor-widget-counter\" data-id=\"19403d3\" data-element_type=\"widget\" data-widget_type=\"counter.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-counter\">\n\t\t\t<div class=\"elementor-counter-title\">Years Experience<\/div>\t\t\t<div class=\"elementor-counter-number-wrapper\">\n\t\t\t\t<span class=\"elementor-counter-number-prefix\"><\/span>\n\t\t\t\t<span class=\"elementor-counter-number\" data-duration=\"2000\" data-to-value=\"25\" data-from-value=\"0\" data-delimiter=\",\">0<\/span>\n\t\t\t\t<span class=\"elementor-counter-number-suffix\">+<\/span>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0a1e76b e-con-full e-flex e-con e-child\" data-id=\"0a1e76b\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1b99b41 elementor-widget elementor-widget-counter\" data-id=\"1b99b41\" data-element_type=\"widget\" data-widget_type=\"counter.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-counter\">\n\t\t\t<div class=\"elementor-counter-title\">Satisfied Clients<\/div>\t\t\t<div class=\"elementor-counter-number-wrapper\">\n\t\t\t\t<span class=\"elementor-counter-number-prefix\"><\/span>\n\t\t\t\t<span class=\"elementor-counter-number\" data-duration=\"2000\" data-to-value=\"1100\" data-from-value=\"0\" data-delimiter=\",\">0<\/span>\n\t\t\t\t<span class=\"elementor-counter-number-suffix\">+<\/span>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>E&amp;M Audit and Training General Information The billing conventions for evaluation and management (E\/M) services in the teaching setting are based on what is defined under the guidelines as \u201ckey [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-17558","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.5 (Yoast SEO v26.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>E&amp;M Audit and Training | MedSafe<\/title>\n<meta name=\"description\" content=\"Explore E&amp;M Audit and Training from MedSafe \u2014a trusted resource for OSHA, HIPAA, and healthcare compliance solutions tailored to your needs.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medsafe.com\/em-audit-training\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" 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