1. Introduction to SIR’s Evaluation and Management Toolkit

2. Why: Health Policy & Reimbursement
Toolkits are designed to optimize practice operations and development
There is significant revenue tied to E/M bil
E/M and used to set current and future policies
E/M billing is tracked and audited by Medicare & other payers
E/M services and documentation are critical and medically necessary
ALL IRs
IRs seen by CMS
Image Source: Krol, K. (2017). Evaluation and Management (E/M) Coding Presentation

3. Why: Health Policy & Reimbursement
Toolkits are designed to improve patient care and clinical outcomes
Policy makers look at E/M billing to determine patient-facing services
Better patient satisfaction
Healthcare is moving toward comprehensive “cognitive” medicine
Better patient care
Physicians providing patient-facing services will be valued more highly in the future
Currently CMS data shows IR billing is only 2% E/M
E/M is the genesis of building a service because time spent leads to more procedures
E/M is a method of communication with referring physicians
E/M has strong association with Personal job satisfaction

4. Billing & Coding Specialists
Who: IR Teams
Toolkits are designed to benefit all IR teams
E/M Team
IR Physicians
Administrators
Private Practice
Hospital Admin
Billing & Coding Specialists
IR Health Practitioners
Nurse Practitioners
Physician Assistants

5. Toolkits are designed to benefit all IR teams
Who: IR Teams
Toolkits are designed to benefit all IR teams
E/M Reported by IR, 2015
Image Source: Krol, K. (2017). Evaluation and Management (E/M) Coding Presentation

6. What: E/M Toolkit Lectures
Toolkits are designed with many helpful practice resources
Lectures
1. Kathy Krol, M.D. : ECS Lecture at 2017 Annual Meeting
2. Sarah White, M.D. : Talk at 2017 Annual Meeting
Sarah White, M.D. : Talk at FSP

7. What: E/M Toolkit Presentations
Toolkits are designed with many helpful practice resources
Presentations
1. Raymond Liu, M.D. Presentation: The Value of Clinical Interventional Radiology
2. Kathy Krol, M.D. Presentation Summary:
Evaluation & Management: Coding & Billing June 2018

8. What: E/M Toolkit Audit Resource
Toolkits are designed with many helpful practice resources
Audit Resource
1. SIR - E/M Documentation and Coding Audit Worksheet
2. SIR – Instructions on E/M Documentation and Coding Audit
3. SIR - Summer 2018 E&M Charge Sheet: Auditing Tool

9. What: E/M Toolkit
Toolkits are designed with many helpful practice resources
Articles
Alexander S. Misono, Raymond Liu, et all
1. Revenue Potential for Inpatient IR Consultation Services: A Financial Model
Sarah White, M.D., et al JVIR
2. A Single-Center Experience in Capturing Inpatient Evaluation and Management for an IR Practice
C. Matthew Hawkins, M.D. E&M article, IRQ, Summer 2018
3. IR Quarterly: Coding Q&A Evaluation and management (E&M) services

10. Conclusion: E/M Toolkit
Toolkits are designed to be support the needs of SIR Members
Support SIR members in optimizing practice operations and development while improving patient care and clinical outcomes.
Support all SIR members and their collaborative teams.
Support SIR members in different practice setting.
Support SIR members by changing approach towards health policy and economics.