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E/M experts..

  1. #1
    Default E/M experts..
    Exam Training Packages
    My fellow coders:

    I'm trying to create a binder for evaluation and management to use as a reference for other employees/auditors.

    Instead of me trying to beat my head against the wall, I thought maybe you guys could help, that way I can compile the information much faster!

    Right now I'm trying to create a tool that will help easily identify what organ system/body area each documented item/problem/condition/symptom/illness belongs to for the review of systems and exam.

    Average weight, weight loss or gain, general state of health, sense of well-being, strength, ability to conduct usual activities, exercise tolerance
    Rash, itching, pigmentation, moisture or dryness, texture, changes in hair growth or loss, nail changes
    Breast lumps, tenderness, swelling, nipple discharge

    I'm basically trying to categorize the symptom/illnesses to the appropriate organ systems. Feel free to add your thoughts. Thanks!!

  2. #2
    Milwaukee WI
    Default My favorite reference
    I use the 1995 or 1997 exam guidelines / audit tools as my reference point.
    We're in pediatrics so many of the bullet points aren't applicable (especially male/female GU exams), but it still helps to categorize what system or body area we're talking about.

    No need to reinvent the wheel ... LOL

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Seacoast- Dover New Hampshire
    I am right in the middle of a similar situation. We have a new MD who wants some pointers as she believes she may be under coding. I have spent the afternoon searching for information to give her. She is Internal Medicine. Some of the things I have found are:
    Provider education Medicare Part B;
    Services Not Reasonable and Necessary
    E and M coding requirements
    IPPE 2009
    1995 and 1997 documentation Guidelines.
    Now, to put that into a quick snapshot.
    I have printed out the publications and will put them in a folder for the future, or until something changes.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  4. #4
    you can create a refernce sheet/cheat sheet for the doctor to refer to. the one i have has new, est & consults on it. if you need a copy send me an email at and state what specialty and if you want 95 or 97 or both.

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