Part 4: 2023 Evaluation and Management Series by AMCI - Review

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and welcome to the AMCI E M series we've

designed this series to break down the e

m guidelines into manageable

digestible nuggets to ensure that you

have the best possible learning

experience we encourage you to watch the

playbacks as many times as you need

until you fully grasp those guidelines

and if you're seeking CEUs

simply click the link in the description

to enroll in our online course all right

that was kind of rude

if you didn't know I'm Mrs J the

curriculum director at AMCI and I am

absolutely thrilled to be here with you

today now let's go ahead

and let's take a moment to introduce our

fantastic team

and we're going to start with Miss

Tamika she is our assistant curriculum

director and Resident

qhp yes she is a physician's assistant

now let's turn our attention to Mr

Sandeep who is also a lead instructor at

AMCI and he is our resident pharmacist

with a master's in pharmacy

and introducing our dedicated AMCI

approved interns Miss Dolly who holds

both cpca and CCS certifications

and last but not least

Miss Jazz meet who has an MS and a

medical background as a CNA

and with such an incredible team by our

side we are excited to dive into these e

m guidelines together so without further

ado

let's get started on this journey

and this is a four-part e m series yes

we will discuss in part one the AMCI

annotation technique called Chun we're

going to teach you how to Chun your e m

section we're also going to learn to

code office visits and scoring the

medical decision making in part one in

part two we're going to discuss

inpatient coding Hospital observation

we're also going to talk about

consultations and emergency departments

part three we're going to talk about

Nursing Facility visits prolonged

services and part four this is where

we're gonna summarize all of it and

we're going to test your knowledge but

rest assured throughout the parts where

you will be testing your knowledge and

finally keep in mind that we will

consider the 2023 guidelines and apply

them every step of the way now let's get

this started

thank you Ms J sokoris

how are you all doing

yes as they said we are into the final

week of March Madness and now it's time

to keep the copyrights CPT copyright

2023 are making medical associations all

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content found within this presentation

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AMCI

so where are we now we are in the week

four and we will be testing the

knowledge with application to the

practice scenarios and reviews yes we

are going to have a lot of practice

scenarios this week for and

the goals of the presentation for today

is the scenario review yes we revisit

the same day and admit

we'll be reviewing them we will be

reviewing the Ed visits the emergency

department visits and the prolonged we

say prolonged service

and there will be also review on the

2023 changes and the AMA guideline

changes

and yes now it's time to talk about AMA

irata so curatum is a Latin word for the

correction to the Publications

and you have been asking for about this

here about the AMA erratum so this

mostly it's uh it's about the language

changes and any any other changes which

has been made you can see as in the

slide uh there's been changes like India

for the independent interpretation

that's a test that is ordered and

independently interpreted may be count

May count both as the test ordered and

interpreted for the appropriate Source

uh for the purpose of the documents

reviewed documents from an appropriate

Source may be counted so all these

changes on the AMA erata is available in

your LMS so you can go ahead and check

the LMS for them

and again you have changes that is

pertaining to evaluation management

office or other outpatient services

evaluation and management nursing

facility changes as well so don't forget

to go and check your LMS for the AMA

errata

and AMCI homework Errata so you can also

find the changes uh by looking into the

term difficulty that's where uh we will

be having a erratum in AMCI homework and

a big shout out to uh the MH I won't

specify the names I won't take out the

name so it's one of you thank you Ms for

pointing out a change here

so medical decision making it's all

about the compliance guidelines and

Regulation and we will be doing a few

exercises on medical decision making on

the week four

so are you ready for this to test your

knowledge

yes I know you all are ready and excited

here

so let's get started before that I want

to have a quick look into the keywords

uh to the Highlight for the E M

documentation age of the patient the

diagnosis signs and symptoms exams

procedures anything the doctor does the

total time the medical decision making

data is reviewed so all these are going

to be

highlighted in EM documentation well for

solving the scenarios so how to solve

the enm medical coding

answer question sections yes we have few

questions and we answer them first of

all the e m medical coding scenarios

whether there is a medically appropriate

history or example from the location of

the way city as well was uh which it

happened and the type of the visit

whether it's a new patient initial

established subsequent visits the total

time of the visit if there is no total

time documented what we do is we go

ahead with the medical decision making

we'll be inventing uh them and scoring

the medical list you're making by using

the PDR chart and E M tables to select

the code and finally applying all the

guidelines so that's all and this is

your first scenarios and we'll be doing

a little bit change from previous we

will be cutting short the time and you

will be getting around 60 seconds to

answer ZX questions yes this is the

challenge we put forward for you and I

am sure you are ready for this challenge

so to read out the first scenario I

would like to invite Ms just meet on the

floor it's just with you can't take it

away

thank you so much Mr Sandeep

okay let's start with the first scenario

of this webinar okay

score the MDM and provide the code that

describes the level of service for the

encounter your options are

99282 b

99283 c

99284 and d 99285 subjective oh 32 year

old female who presents to the emergency

department with Chief complaint of