Revenue Cycle Insider

E/M Coding:

Look for Data Elements to Count Discussions Toward E/M

Question: I code for physicians who see inpatients and collaborate with other providers on patient care. How do I know what documentation is sufficient to count those discussions toward evaluation and management (E/M) levels? HEALTHCON Regional Attendee Answer: When you’re looking at documentation, you’re looking for an actual change occurring in the patient’s care, and the documentation should show that [...]
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