How to use AMA E/M Tool

This tool will be used to help determine which CPT code to associate with a visit based on the new billing requirements. This will NOT read the note; you will need to input the information yourself to generate the code recommendation. It will not pull the recommended code into the ebill, it will need to be added separately. This is a recommendation only. 

In Medent you will go into the patient’s progress note, along the top of the note you will see this line: 

At the end of the line you will click on the chervon. 

SETTING UP TOOLBAR 

If you would like to pull the tool to be able to see it at the top of all progress notes you will click on the gear under the chevron. You will see these two columns: 

You will then pull the AMA E/M Tool from the left column to the right, by selecting it and clicking the arrow in the middle to move it to the right side.

Once you have moved it over verify that it looks like below:

You can then check mark out. Click on the AMA E/M Tool to begin to use. 

USING AMA E/M TOOL 

In the AMA E/M Tool you will see the following two options:

If you click on Calculate CPT code it will take you to a worksheet that will allow you to select the relevant qualifying factors to tell you what you should code based off the specific patient. You have two options, Medical decision Making and Time:

If you choose Medical Decision Making you will see the following:

Under Medical decision making you will see three areas to fill out. First being Number and Complexity of problems addressed. You will need to select ONE of the choices in this section to be able to get a billing code:

The next section is Amount and/or Complexity of Data to be reviewed and Analyzed. You will need to select ONE of the choices in this section to be able to get a billing code:

The third section is Risk of Complications and/or Morbidity or Mortality of Patient Management. You will need to select ONE of the choices in this section to be able to get a billing code:

Once you have selected an option for all three of the sections in the bottom right corner it will generate the suggested CPT code. You can then return to the note and input the CPT code into the ebill. This will NOT auto-generate in the note as it is just a reference guide. 

If you use the time aspect instead of the Medical decision making you will click into the time aspect in the beginning. 

From here you can input the number of minutes into the text bar on the left hand side or click onto the line on the right to how many minutes were spent with the patient. 

This will generate the suggested CPT in the bottom right corner.  You can then return to the note and input the CPT code into the ebill. This will NOT auto-generate in the note as it is just a reference guide.

The other option is at the very beginning to select the bottom options of Select CPT Code. 

This would pull up a selection area where you would pick the CPT code and it would generate all qualifying factors.

This would only generate guidelines for the CPT code selected to help determine the level of care and documentation requirements.  It will not populate the Ebill.  Codes would have to be placed into the Ebill separately.