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E & M guideline ?

  1. #1
    Location
    Albuquerque
    Posts
    12
    Cool E & M guideline ?
    Medical Coding Books
    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?

  2. #2
    Default
    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.

  3. #3
    Location
    Phoenix, AZ
    Posts
    620
    Default
    An MA or RN can document the PFSH and the ROS. The provider is responsible for the chief complaint and the HPI.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  4. #4
    Location
    Albuquerque
    Posts
    12
    Smile Thank you
    Thanks so much for the replies. have a wonderful holiday weekend.

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