Advanced Search

Pediatric Coding Alert

Guidelines:

Make the Decision, Add Up the Points in This MDM Calculation

Published on Thu Apr 18, 2019

And know that numbers alone don’t always equate to the correct E/M level. More than history and the exam, the Centers for Medicare and Medicaid (CMS) regard medical decision making (MDM) “and time [as] the more significant factors in distinguishing visit levels” (Source: www.gpo.gov/fdsys/pkg/FR-2017-11-15/pdf/2017-23953.pdf). But calculating MDM often involves making judgement calls that can sometimes lead to upcoding or [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Pediatric Coding Alert

View All