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E/M Wizard© Evaluation and Management Wizard

Evaluation and management (E/M) coding routinely presents difficult challenges when determining accurate coding from a wide range of choices. As a result, providers tend to make more E/M coding mistakes than with any other item or service. The E/M Wizard removes guesswork or uncertainty from the coding process while helping to quickly and efficiently calculate E/M codes to the highest appropriate level. An excellent provider auditing and educational tool, this product works to effectively complete required patient encounter documentation.

Assign E & M Codes with confidence


E/M Wizard, a smart, web-based application, greatly enhances requisite medical documentation through patient chart verification while assuring correct compliance coding with claims submissions. Instilling confidence that the most appropriate and highest level E/M code is submitted, the E/M Wizard works to avoid up or down-coding leading of the highest possible reimbursement rates and complete confidence in the face of potential audit.

Evaluation and Management (E/M) codes are the primary vehicle for characterizing, reporting and billing of patient office care provided by physicians. In the calendar year 2005, according to the National Institutes of Health (NIH) and the National Library of Medicine (NLM), 53% of the top 110 Medicare Part B procedure codes, ranked according to charge type, were E/M codes totaling more than $28 billion, more than one quarter of all Medicare Part B charges.

Highlights of E/M Wizard


 Choice of utilizing 1995 or 1997 guidelines.
 Automatically assigns the highest appropriate E/M level with certainty and confidence.
 Easy-to-use templates which remove guesswork and uncertainty from the E/M coding process.
 Increase revenue by reducing the number of denied claims.
 Maximizes time by encouraging efficient documentation practices.
 Ensures coding compliance with CMS and AMA guidelines.
 Eliminates down or up-coding limiting audit exposure.
 Enhances efficiency and profit.
 Keep Evaluation and Management encounter history.
 Compare calculated code to the code submitted and receive a flag for up-, down-coding, or other problems.
 Generation of reports denoting documentation which validates codes calculated.
 Customizable appearance of the Provider E/M Level Chart.
 The product includes automatic updates and upgrades.

Here is a list of features included with the E/M Wizard


 Web based.
 Posts the assigned procedure code with associated long and short procedure descriptions.
 Save and retrieve '95 and '97 encounter results.
 Auditing and reporting capability for under/over-coding.
 Ability to appropriately select from an array of Evaluation and Management services.
 Calculates total history examination and medical decision-making levels.
 Results include history of present illness, review of symptoms, medical-family-social history, diagnosis, complexity and risk levels.
 Customizable provider E/M Level Chart available in several different variations.
 Aggregate E/M Report per period and provider.
 Original coding documentation for 1995 and 1997 CMS and the latest AMA Guidelines included.
 Evaluation and Management coding documentation by TrailBlazer and Highmark.


E/M Wizard brochure


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