Wiki E & M guideline ?

[kelsey2]

For an E&M visit, a provider is responsible for certain parts of that visit. My understanding is the HPI, PE and decision making. Is there documentation from Medicare that states this somewhere?

 

[debrakae]

If you go to the CMS web site you can download the 1995 and the 1997 E/M guidelines.

The MA can do the history section, but the doctor then has to state that he reviewed it with the patient.

 

[Cyndi113]

An MA or RN can document the PFSH and the ROS. The provider is responsible for the chief complaint and the HPI.

 

[kelsey2]

Thank you

Thanks so much for the replies. have a wonderful holiday weekend.