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Pediatric Coding Alert

You Be the Coder:

Evaluate This Counseling Scenario, Manage Your Documentation Correctly

Published on Thu Sep 19, 2019

Question: If I am billing an evaluation and management (E/M) encounter by time, does documentation for the E/M elements have to be in the record, or can the E/M level be determined solely on the provider’s documentation of the time spent in counseling with the patient? Florida Subscriber Answer: Most coders are trained to look in the record for the [...]
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