California Medical Association: Make the most of revised E/M coding guidelines

Recent changes in how the Centers for Medicare & Medicaid Services (CMS) allows you to calculate evaluation and management (E/M) service levels are a benefit to providers, especially those who manage patients with multiple chronic conditions. AAPC’s Managing Editor, G. John Verhovshek, CPC, recently published an article with the California Medical Association, in which he describes the advantages and disadvantages of the 1995 and 1997 Documentation Guidelines for Evaluation and Management Services. He also explains the guideline revision CMS  made in September, 2013.

“Effective September 10, 2013, CMS has revised its E/M Documentation Guidelines to allow an extended HPI, as defined by the 1997 guidelines, with the other elements of the 1995 guidelines,” he says. “As a result, ‘the status of three or more chronic conditions’ qualifies as an Extended HPI for either the 1997 or 1995 guidelines.”

Evaluation and Management – CEMC

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