Ambiguities in the 1995 documentation guidelines create uncertainty. Editor’s Note: After this article was written, a Medicare administrative contractor announced new definitions for “detailed” and “expanded poblem-focused.” See the May issue of Healthcare Business Monthly to learn more. Within the Centers for Medicare & Medicaid Services’ (CMS) 1995 Documentation Guidelines for Evaluation and ...
Jul 1st, 2009
Part 2 of this three-part series provides an in-depth look at the exam component. By G. John Verhovshek, MA, CPC In this three-part series on the driving components of level selection for the majority of evaluation and management (E/M) services, we discuss the history, examination, and medical decision-making components. In May’s issue of Coding Edge, ...