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Thread: Auditing E/M

  1. #1

    Default Auditing E/M

    AAPC: Back to School
    I am performing E/M audits in the office that I work. The one area that I have the most difficulty is the Medical decision making, trying to classify some of the diagnoses as either acute uncomplicated, acute with systemic conditions etc. Is there a study guide or book that will help me with this area?

    Denise Smith CPC-A

  2. #2
    Join Date
    Apr 2007

    Default A book suggestion...

    A book that I found helpful was "Auditing Evaluation and Management Coding" By Joe Rivet, CPC, CCS-P.
    Medical decision making is one of the hardest areas to audit because it's not as easy to "quantify" as the other areas. I found that doing a lot of research and learning over time helps. If I get to a situation that I'm truly stumped on, I post the scenario on this forum. I have learned a great deal from other fellow coders on this forum.
    I hope this helps!
    Carrie, BS, CPC

  3. #3
    Join Date
    Apr 2007
    Richardson, Texas


    The Medicare Table of Risk is also very useful in measuring/quantifying Medical Decision Making.

    Linda Hallstrom, CPC, CEMC
    Grand Canyon Coders
    Phoenix AZ AAPC Chapter
    2007-2010 Board of Directors, AAPC Chapter Assn.

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