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E & M guideline ?

  1. #1
    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
    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
    Phoenix, AZ
    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
    Smile Thank you
    Thanks so much for the replies. have a wonderful holiday weekend.

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