AHA Coding Clinic® for HCPCS - 2001 Issue 1; EVALUATION and MANAGEMENT

Sharing ideas from facility to facility

Evaluation and Management (E/M) facility coding is a new requirement for hospitals since the implementation of the Outpatient Prospective Payment System (OPPS). In the past, hospitals were allowed to report one code (99201) to indicate a clinic or emergency visit of any type. Now, there are 31 E/M codes used to classify these patients into Ambulatory Payment Classification (APC) groups. With the understanding that existing E/M codes may not accurately reflect the nonphysician resources, the final regulation allows each facility to develop a system for mapping the provided services or combination of services furnished to the different levels of...

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