The E/M Challenge

Evaluation and management (E/M) coding is the financial lifeblood for most providers and one of healthcare’s toughest challenges. It’s vital to get this process right since it’s how you get paid for your clinical expertise.

For decades, providers have struggled to capture their cognitive work in a way that compensates them appropriately and compliantly. Though industry guidelines have tried to ease the process, they instead created complex, variable, and inefficient manual workflows that expose hospitals, providers, and practices to regulatory and financial risk. Though the upcoming 2021 E/M code revisions may change the process for providers, the changes won’t make it more efficient.

Coding Compliance and Efficiency Improvements

With the TRUSTEDi10 app in the Epic App Orchard program, providers can simplify, accelerate, and strengthen E/M coding workflows. Epic users can rely on TRUSTEDi10 to help standardize and improve visibility into E/M code selection.

TRUSTEDi10 uses AI technology to rapidly read through medical charts and auto-generate recommended E/M codes that are accurate, compliant, and defensible. The speed of this process exceeds human capabilities, which saves time and lowers costs. It simultaneously creates an audit trail documenting the “thought process” behind the E/M code recommendations to reduce audit risk and costs, while improving visibility.

Same E/M Workflows, Better Results

TRUSTEDi10 is purpose-built to operate within Epic’s clinical workflows. The advanced, AI-driven technology seamlessly reads and interprets charts and selects accurate E/M codes, without requiring the user to adopt new workflows or learn new platforms.

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Learn how we can help you optimize your E/M coding in Epic.

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At Last: Straightforward, Defensible E/M Coding

TRUSTEDi10 strengthens existing E/M coding workflows in ambulatory and emergency department (ED) settings. This groundbreaking solution uses API-driven Epic App Orchard integration to embed itself within Epic’s clinical workflow, before the coding and billing sections.

All E/M coding processes remain intact, so there is no learning curve, and you never need to jump in and out of the chart. TRUSTEDi10 is also customizable to internal compliance guidelines and your regional Medicare Administrative Contractor (MAC).

How TRUSTEDi10 Works Within Epic:


Documented E/M levels are displayed and scored using the 1995, 1997, or time-based guidelines.


The final code recommendation is then accepted or modified by an authorized user.


An audit defense document is embedded into the record to support the code selection, defend reimbursements, and aid in clinical documentation improvement (CDI) initiatives.

TRUSTEDi10 Lets You:

Standardize E/M coding processes
Reduce E/M coding errors
Compress coding and charge-capture turnaround
Increase HIM resource efficiency
Defend against E/M code audits

Take Control of ED & Ambulatory E/M Coding

Access TRUSTEDi10 within Epic’s clinical EHR workflows (pre-coding and billing)

  • No new technology to learn, no extra clicks
  • One data sourceā€”never transfer information in or out of Epic

Code simultaneously using the 1995 and 1997 E/M guidelines, and time-based rules

  • Options available to hide one result, hide two results, or show all three
  • Get immediate results

Give authorized access to physicians and coders

  • Keep your existing E/M coding workflows just as they are
  • Enable batch or real-time E/M coding

Gain unprecedented visibility into your E/M coding

  • See notes in a CMS audit form alongside an E/M score sheet in the chart
  • Embed an audit defense document (PDF) in each medical record

E/M coding is one of healthcare's longstanding challenges. TRUSTEDi10 integration within Epic is the ultimate solution.

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