Evaluation and Management (E/M) Coding and Re-Exams: Getting It Right and Getting It Paid
Total Credits: 2.0 Category 1 Education
- Average Rating:
- Not yet rated
- Topic Areas:
- Coding and Billing | Compliance | Documentation
- Categories:
- Live Category I Continuing Education | On-Demand Category I Education
- Faculty:
- Dr. Evan Gwilliam, DC
- Duration:
- 1 Hour 44 Minutes
- Format:
- Audio and Video
- License:
- Never Expires.
Description
Evaluation and Management (E/M) Coding and Re-Exams: Getting It Right and Getting It Paid
Sponsored by NCMIC
Hour 1 — Making Sense of E/M Coding for Chiropractors
Description
Chiropractors must comply with the same E/M documentation rules as other healthcare providers—but most guidelines were never written with chiropractic in mind. In this first hour, Dr. Gwilliam simplifies the 2021–2024 E/M changes, showing which rules actually apply in a chiropractic setting and how to use them to accurately select and document the proper level of service. Attendees will gain practical examples and note verbiage that make E/M compliance less confusing and more consistent.
Learning Outcomes
- By the end of this hour, attendees will be able to:
- Interpret the 2021–2024 E/M coding guidelines as they apply to chiropractic encounters.
- Differentiate between MDM-based and time-based code selection, and identify which is most defensible in chiropractic practice.
- Construct compliant documentation that supports the selected E/M level and withstands payer review
Hour 2 — Re-Exam Reality Check: When E/M and CMT Can Coexist
Description
In this second hour, Dr. Gwilliam explores one of chiropractic’s most common billing and compliance headaches: performing and documenting a re-exam on the same day as a CMT. Learn how to identify when a re-evaluation is clinically justified, how to document it as a “significant, separately identifiable” service, and how to apply the correct modifiers and diagnosis pointers to minimize denials while maintaining ethical compliance.
Learning Outcomes
- By the end of this hour, attendees will be able to:
- Identify clinical situations that justify a separately reportable E/M service in conjunction with CMT.
- Apply payer and coding guidance—including the 25 modifier and NCCI edits—to create compliant re-exam documentation.
- Distinguish between routine care and medically necessary re-evaluations to ensure accurate, defensible records.
Handouts
| E&M Coding (6.8 MB) | 72 Pages | Available after Purchase |
Faculty
Dr. Evan Gwilliam, DC Related Seminars and Products
Practisync
Dr. Evan Gwilliam, Senior Vice President of Practisync, is an authority in healthcare compliance, coding, and documentation. Graduating as valedictorian from Palmer College of Chiropractic, he holds certifications as a Professional Coder, Medical Auditor, and Compliance Officer, blending clinical experience with a background in accounting and a Master of Business Administration. Dr. Gwilliam is a frequent speaker at industry events, provides expert witness testimony, conducts medical record audits, and consults with healthcare providers. His contributions to publications and reference materials have solidified his reputation as a thought leader in compliance for chiropractic.