Evaluation and Management Coding - Auto-Coding

RevolutionEHR provides an auto coding feature that allows doctors to determine the evaluation and management code (E/M) for 992xx office visits using either medical decision making (MDM) or total professional time.

Access the following articles for more information:

• Evaluation and Management Coding - Encounter Timer.
• Evaluation and Management Coding - Encounter Time Stamp.

Instructions

The system allows the doctor to preview the auto-code information and decide which code is appropriate or to auto-code without previewing the information. 

Auto-Code Preview

Auto-coding requires the Medical Reason checked and a Provider Reason for Visit or Patient Reason for Visit entered.

1. Access the Coding screen of the encounter.
2. Click 'Auto-Code Preview.'
3. In the Auto-Code Preview modal, review the information that displays and determine which Final CPT code is appropriate for your situation. 
   • The following total professional time charts are used to determine the codes:
     • New Patient 
     • Established Patient 
     • For times in excess of what is displayed in the charts for new and established patients, the system provides a message to add units for payer appropriate prolonged services code. 
4. Click 'Accept' to add the appropriate final CPT code to the Performed Services list.

Code Exam

Auto-coding requires the Medical Reason checked and a Provider Reason for Visit or Patient Reason for Visit entered.

1. Access the Coding screen of the encounter.
2. Click 'Code Exam.'
3. If the codes for total professional time and MDM match, the system will automatically code the exam and display the code information in the Performed Services grid. 
   • If the codes for total professional time and MDM do NOT match, the system will automatically display the Auto-Code Preview modal. 
     
     • The following total professional time charts are used to determine the codes:
       • New Patient 
       • Established Patient 
       • For times in excess of what is displayed in the charts for new and established patients, the system provides a message to add units for payer appropriate prolonged services code. 
4. Click 'Accept' to add the appropriate final CPT code to the Performed Services List.