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E/M CODING AND THE DOCUMENTATION …
September/October 2011 | | FAMILY PRACTICE MANAGEMENT | 33IT S TIM E TO T E S T YOUR E/M CODING CODING AND THE DOCUMENTATION GUIDELINE S : putting It All Together Last year FPM published a series of articles about the DOCUMENTATION guidelines for Evaluation and Management (E/M) Ser-vices, Medicare s attempt to produce a standard, detailed description of the requirements for CODING level 1 through level 5 office visits, which are now at the center of almost all payers auditing and compliance initiatives. The FPM articles (listed on page 38) reviewed the guidelines for his-tory, exam and medical decision making and how to use them appropriately. This article provides an opportunity to test your CODING acumen by applying what you ve learned to two notes, written by family physicians, that represent some of the most common presenting problems in family medicine.
E/M CODING AND THE DOCUMENTATION GUIDELINES: Putting It All Together L ast year FPM published a series of ... guidelines specifies eight elements that relate primarily to acute problems (location, quality, severity, duration, tim- ... (four or more elements). The ROS is extended (2-9 systems required), as it includes ...
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