CMS allows providers’ E/M services to be coded using EITHER the 1995 OR the 1997 E/M Documentation Guidelines. For many providers, the 1995 version of the E/M Guidelines most closely aligns with a provider’s actual clinical practice and achieves optimal reimbursement. However, many coders, auditors, and physicians are still reluctant to use the 1995 CMS E/M Documentation Guidelines, wary of the various aspects of these guidelines that require a bit of interpretation or judgment. This in-depth seminar will explore the differences between the two sets of E/M Guidelines, with a focus on the 1995 Guidelines’ physical exam documentation requirements. After reviewing these requirements in detail, several examples will be reviewed to help listeners fully understand how the 1995 Guidelines work, and ensure that all concepts are fully understood, allowing listeners to achieve a new confidence with this version of the E/M Guidelines.
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