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E&M Coding "Cheat Sheet"

Jun

26

I almost forgot about this, but Igor mentioned that a client asked for it, so here we are.I got the original idea from a couple sources, including the GA AAP and Island Coast Pediatrics a long time ago and posted their samples on PCC. The concept is to create a little E&M cheat sheet for the docs to carry around in their pockets (perhaps even laminated) to help improve E&M coding. I've always encouraged our clients to put them, instead, on each encounter form or perhaps on the chart template. After hand-making these about a dozen times, here are some good samples for your own practice. This is a draft - let me know if you see any mistakes!

Cheat Sheet!

The format is simple: 8 inches wide, 1 inch high (I also made one that's 4"x1"). I have one with color, one with different fonts. You can definitely make it smaller. I have included an OpenOffice version, Word Version, and PDF.If someone wants a different layout, content, etc., let me know. [Yes, I know it's misspelled, I was enjoying myself.]UPDATE: There is a new version here.

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Thu, 06/26/2008 - 3:41pm — John (not verified)

E&M Coding "Cheat Sheet"

The problem with most providers is that they don't understand "Moderate Risk" in MDM.

For instance, many don't realize that with 4 items in HPI documented (level 5), and the usual ROS and PFSH recorded by the MA and reviewed by provider (also level 5), all one needs is to document management of 3 stable diagnoses and continuation of ONE med (or prescirbe new med) to reach a Level 4 Established visit. NO PHYSICAL EXAM NEEDED!

Look at the 1997 E&M rules if you don't believe me.

Using the cheat sheet without fully understanding the details will CERTAINLY cause providers to UNDERcode.

Learn the rules. Apply them. Be happy.

Thu, 06/26/2008 - 3:52pm — chiphart (not verified)

E&M Coding "Cheat Sheet"

First let me state that I agree with you 100%: using the cheat sheet without understanding the rules is a dangerous thing.

However, my experience still remains that so many peds don't even use time at all, for example, and just that alone should improve most offices.

However, if you are pointing out that someone only needs 2 of the 3 first columns to hit the code level, you are right. Perhaps there is a way, visually, for me to communicate that. Of course, I am delighted to host anyone else's take on the concept - if you have a cheat sheet, lay it on me!

Thanks for the input.

Thu, 06/26/2008 - 5:44pm — John (not verified)

E&M Coding "Cheat Sheet"

My "cheat sheet" = EMR with E&M calculator. On top of mentally understanding the rules, I have the calculator to automatically back me up and ensure my documentation meets the requirements - sort of a double-check.

Having attended numerous coding seminars has made me a very very happy camper. Gotta know the rules.

Fri, 06/27/2008 - 10:09am — chiphart (not verified)

E&M Coding "Cheat Sheet"

You realize, of course, you've made two statements there that make you an outlier in primary care :-) [EMR, knowing the rules...and, heck, even "double-check"]

Thanks for the input. John has been nice enough to forward me another E&M cheat sheet that I may use to help me make a better design on the other form.

Thu, 09/22/2011 - 1:42pm — mdungeon

E/M Cheat Sheets Updates

Can the cheatsheets be updated or specialized for different specialties?

Thu, 09/22/2011 - 2:04pm — chiphart

E/M Cheat Sheets Updates

In theory, they can - but the E&M rules don't vary by specialty nor have the rules changed since 1995/1997.  What did you have in mind?

 

Chip Hart - Pediatric Solutions
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