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Thread: E & M guideline ?

  1. #1
    Join Date
    Apr 2007

    Cool E & M guideline ?

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    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
    Join Date
    Apr 2007

    Smile Thank you

    Thanks so much for the replies. have a wonderful holiday weekend.

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