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Hospital E/M: Inpatient vs Outpatient

Certified Instructor

Live and On Demand

2 CEU Credit

Many struggle with the various guidelines for Hospital status in relation to Inpatient and Outpatient Services. Many struggle understanding insurance policies, Modifiers and department requirements. We will discuss Evaluation and Management guidelines for 1995,1997 and what lies ahead in 2023 for ED, Observation, Inpatient and Critical Care



Course level: All Levels

Duration: 2 h

What Will I Learn?

  • Difference in 1995 and 1997 E/M Guidelines
  • Understand Inpatient vs Outpatient
  • Consultation Requirements
  • Common Denials and Solutions
  • Critical Care Guidelines
  • Understand New Modifiers
  • Upcoming 2023 Changes

Areas Covered in the Session:

  • What is an Outpatient Service?
  • What is an Inpatient Service?
  • Service Status and Place of Service Requirements
  • Billing Consultations for Medicare
  • Emergency Department Billing Rules
  • Critical Care Guidelines and Updates
  • Split/Shared Visits Transition Period
  • E/M 2023 Changes
  • New Modifiers
  • How to Level and Audit


  • Operating System: Windows any version preferably above Windows Vista & Mac any version above OS X 10.6
  • Internet Speed: Preferably above 1 MBPS
  • Headset: Any decent headset and microphone which can be used to talk and hear clearly

Target Audience

  • Office Managers
  • Clinic Managers
  • Hospital Director
  • Medical Software Developers
  • Coders
  • Billers
  • Physicians
  • Nurses
  • Medical Assistants
  • Coding and Billing Trainee

About the instructor

Jennifer McNamara


I serve as the Director of Education and Coding for Oncospark. I bring impact and results with 20+ years of proven healthcare revenue cycle experience and effective instruction through Ozark Institute for 1000+ students. I have embraced the changes in the billing and coding space by embracing the movement to value based care and software deployment across specialties. I am committed to teaching others the intricate world of billing and coding and the future of the space. 

I started my Career in 2000 and have worked in many specialized areas of Coding including Orthopedics, Plastic Surgery, General Surgery, Ophthalmology, Podiatry and many more. My coding team provides Auditing, Consulting, RCM services, Credentialing and Compliance through our team of experts.

I am the host of the weekly podcast “Life as a Coder” discussing Health Information Management and how to succeed in the Business of Healthcare as well as tips for work life balance. It is available on many podcast stations and airs every Wednesday.

I have served as Education Officer for the Joplin MO AAPC Chapter previously and has written articles for AAPC Healthcare Business Monthly. I am a National public speaker and have been a past speaker at AAPC Healthcon as well as many specialty conferences and events both Virtually and In person including Decision Health for Orthopedics.


~ Heather Boliman

I absolutely loved the lay out with the pre-recorded sessions followed by the Zoom Q&A. I look forward to more info from you guys!

~ Carol Hodge

Speakers were excellent. Thoroughly enjoyed the event.