BC Advantage - 2023 Issue 9

E/M Scoring Questions

Evaluation and Management visits are often the "bread and butter" of an organization. Thus, correctly scoring encounters is essential to ensuring proper reimbursement. The element of "Risk" is only one of the three elements of Medical Decision Making (MDM) but understanding what is meant by all the definitions within each element is critical. The American Medical Association (AMA) has an FAQ page which provides some insight as to their thoughts regarding E/M scoring. Although, at the time of publication, their page includes some information on surgeries, keep in mind that individual payors may have their own guidelines which must...

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