Our practice has been using an EMR since 2004, but we recently upgraded to a newer version. The E/M calculator now follows Alpha II (coding software) standards.
For an established patient, MDM must be 1 of the top 2 out of 3 elements. I don't necessarily agree that the MDM always represents the medical necessity, but that's how this computerized E/M calculator works.
Does anyone know if the MDM having to be 1 of 2 elements is becoming an industry standard? As far as I understand, as long as (any) 2 of 3 elements meet a level, you are coding correctly, assuming documentation follows the medical necessity of the problem.
Megan B, CPC
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join