CPB (Certified Professional Biller) Certification Practice Exam

What does E/M stand for in the context of medical billing?

1. Electronic Media Claim

2. Electronic Health Record

3. Employer Group Health Plan

4. Evaluation and Management

The correct answer is: Evaluation and Management

In the context of medical billing, E/M stands for Evaluation and Management. This refers to a set of codes used to describe the complexity and intensity of the services provided by healthcare professionals during patient encounters. These codes are essential for reimbursement from insurance providers, as they reflect the type of medical services rendered, including both the evaluation of a patient’s condition and the management of their care. Correctly coding for E/M services ensures that healthcare providers are compensated appropriately for their efforts in assessing and treating patients, which is a fundamental aspect of the billing process. The other options, while relevant to healthcare in various ways, do not specifically pertain to the billing process as it relates to patient evaluations and management services.