Should a physician or other QHP be allowed to individually select the level of E/M service via MDM or time, or should the entire medical specialty practice be expected to follow the uniform selection process (ie, always use time or always use MDM)? ...
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Article Overview
This article discusses evaluation and management coding policy questions for physicians and other qualified health professionals. It focuses on whether level selection should be made individually by the clinician or standardized across an entire specialty practice, and it frames the issue around the broader use of time-based or medical-decision-making-based selection methods.
Why This Topic Matters
This matters for practices trying to align E/M documentation and level selection with current coding guidance. It is relevant to coders, compliance staff, and clinicians who need to understand how selection discretion is applied in practice.
What You Will Learn
- How the article frames the question of individual versus practice-wide E/M level selection
- The general role of medical decision making and total time in E/M level selection
- Why the issue is relevant to clinicians, coders, and compliance teams
- The scope of the guidance discussion around E/M services
Who Should Read This
- Physicians
- Other qualified health professionals
- Medical coders
- Coding auditors
- Compliance staff
- Practice managers
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