FIMC-EM
Visit WebsiteType
Certification
Level
Advanced
Format
Hybrid
Duration
120 hours
Price
Paid
Description
FIMC®-EM – Fellowship in Evaluation and Management (E/M) Coding
By PMBAUSA LLC and MEDESUN Prime
For Certified Medical Coders (CPC, CCS, CAIMC, FIMC, etc.)
🔹 Credential Overview
The FIMC®-EM Fellowship is a premier credential designed to enhance the proficiency of certified coders in Evaluation and Management (E/M) coding, ensuring deep understanding of documentation, compliance, and audit-readiness. This credential bridges the gap between theoretical coding knowledge and the real-world demands of Medicare, OIG audits, and RAC reviews.
🔹 Why E/M Coding Matters
Medicare pays billions annually for E/M services. According to the OIG report, 42% of E/M services billed with Modifier 25 on the same day as procedures (e.g., intravitreal injections) lacked appropriate documentation. This led to millions in improper payments and audit recoveries.
The FIMC-EM credential is developed to help coders:
Understand E/M guidelines thoroughly
Properly apply Medical Decision Making (MDM) and Time-based coding
Comply with CMS, NCCI, and Medicare FFS policies
Master modifier usage, especially Modifier 25, 24, and 57
Prepare for and respond to RAC (Recovery Audit Contractor) and ADR (Additional Documentation Requests)
🔹 Eligibility
Only for certified coders with credentials like:
CPC, CCS, CMC, CAIMC®, or FIMC®
🔹 Training Includes:
Office and outpatient visit coding
Shared/Split visit rules
Teaching physician guidelines
Global surgical package impacts
Incident-to billing rules
RAC, OIG and CMS audit protocols
E/M case studies (GYN, IP/OP, ED, Family Medicine, Neurology)
Mock exam and audit scenarios
🔹 Final Proficiency Exam
Online, timed, and scenario-based
Must score 80% or higher to receive Fellowship certificate
Earns the FIMC-EM Credential valid internationally
🔹 Why Choose FIMC-EM?
Be audit-ready for CMS, RAC, OIG
Improve compliance and reduce denials
Become an internal E/M audit consultant
Adds specialization that boosts salary potential
Recognized by top healthcare employers in USA, UAE, and India
Skills
Auditing Standards
EM Coding,
NCCI
MUE
CPT
ICD-10-CM
RAC
Auditing
Documentation
Compliance
Earning Criteria
Reading
Master core Evaluation and Management (E/M) coding essentials, including Office and outpatient coding, Shared/Split visit rules, Teaching physician guidelines, Global surgical package implications, and Incident-to billing compliance. Learn RAC, OIG, and CMS audit protocols to prevent denials. Sharpen your skills through real-world E/M case studies across GYN, IP/OP, ED, Family Medicine, and Neurology. Includes mock exams, audit simulations, and practical documentation improvement strategies.
Assignment
FIMC®-EM includes structured assignments covering shared/split visit documentation, office and outpatient E/M coding, incident-to rules, and global surgical package scenarios. Coders must evaluate mock records, determine levels of service based on MDM or time, and audit E/M claims for compliance. Practical tasks align with CMS and OIG audit expectations, preparing coders for real-world challenges.
Test
To earn the FIMC®-EM (Fellowship in Evaluation and Management Coding) credential, candidates must pass an online proctored final exam after completing all assignments. This exam evaluates real-world coding skills, modifier usage, compliance with CMS/OIG/RAC audit rules, and accurate level selection based on MDM and time. Offered by PMBAUSA LLC and MEDESUN, this credential is ideal for CPC, CCS, and FIMC-certified coders aiming to advance in E/M coding.