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Digital Seminar

Evaluation & Management Coding: Maximizing Reimbursement Claims

Jacqueline Bauer, CPC, CPMA, PMCC-I, CPC-I, CSS
5 Hours 09 Minutes
Audio and Video
Apr 20, 2016
Product Code:
Media Type:
Digital Seminar


Evaluation and Management (E&M) Coding is frequently one of the most challenging areas for medical coders, and at the same time are the most common codes used for services being billed. Discover how to correctly determine proper use of CPT® codes, whether to use 1995 or 1997 guidelines, and what to look for in the notes to ensure reimbursement.

Explore advantages and disadvantages of allowing the EHR to choose codes for you. Identify correct definitions of CPT® terms used and review all parts of the E&M section of the CPT® book (be sure to have your own CPT® book!). Walk away with the confidence to correctly utilize E&M codes the first time to maximize reimbursement.


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please statement above.  For speaker disclosures, please see the faculty biography.

Nurses - Nurses, Nurse Practitioners, and Clinical Nurse Specialists

This self-study activity consists of 5.0 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 5.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 5.0 self-study contact hours.

CE Broker

Nurses - Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 5.1 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Other Professions

This self-study activity qualifies for 5.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Jacqueline Bauer, CPC, CPMA, PMCC-I, CPC-I, CSS Related seminars and products

Jacqueline Bauer CPC, CPC-I, CPMA, PMCC-I, CRC, CSS, has over 25 years of coding experience and 15 years of experience as an instructor. She is a CPC credentialed instructor with the American Academy of Professional Coders, an ICD-10 instructor and examination administrator, and a Certified Professional Medical Auditor. Ms. Bauer has prepared countless individuals for the CPC credential exam and transition to ICD-10, in addition to being a Medical Coding Instructor at Rowan College.

Speaker Disclosures:

Financial: Jacqueline Bauer is an instructor at Rowan College. She receives a speaking honorarium from PESI, Inc.

Non-financial: Jacqueline Bauer has no relevant non-financial relationship to disclose.

Additional Info

Access for Self-Study (Non-Interactive) Access never expires for this product.

Visit our FAQ page at or contact us at


  1. Identify the difference between consultations and transfer of care
  2. Determine proper service level based on key components
  3. Apply critical care codes correctly
  4. Develop strong documentation that will back your billing
  5. Reduce your risk of up coding/fraud/abuse
  6. Distinguish when to use 1995 vs 1997 guidelines



  • New patient
  • Established patient
  • On call for another physician
  • Consultation
  • Transfer of care
  • Oversight services
  • Additional important terms


  • Location
    • Outpatient
    • Office
    • Hospital observation
    • Hospital inpatient
  • Type
    • New vs. established patients
  • Level
    • Key components to select service level
      • History
      • Examination
      • Medical decision making
  • Modifiers

Critical Care

  • 10 commandments of critical care


Target Audience

  • Coding and Billing Staff
  • Physicians
  • Nurse Practitioners
  • Physician Assistants
  • Medical Records Personnel
  • Office Managers
  • Medical Assistants
  • Revenue Cycle Staff
  • Reimbursement Staff


Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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