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Thread: 95 or 97 Guidelines

  1. #1

    Default 95 or 97 Guidelines

    AAPC: Back to School
    Is it ok to use 95 guidelines for one patient and 97 guidelines for another patient in the same practice if 2 different individuals have worked on the coding of the 2 patients?

  2. #2
    Join Date
    Apr 2007


    My understanding from attending Medicare workshops & webinars; Medicare will use the guideline that will benefit the provider. So, they might use "95" on 1 patient & "97" on another. So, your answer is yes.
    You just can't use "95" & "97" guidelines on 1 patient, (95 guideline for HPI & 97 for exam) it is either/or.

  3. #3
    Join Date
    Apr 2007
    Springfield Mo

    Default EM Guidelines

    Do you know of any online classes or seminars that will help me understand auditing EM codes for testing purposes? I am retaking my CENTC test and need help in this area. Thanks

  4. #4

    Default NAMAS offers a pretty good course

    The two day Namas seminar is pretty good, but it may be far more than you need. There is an E & M Auditing webinar that might do the trick for you though.

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