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
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