BC Advantage - 2022 Issue 10

Up-Coding and Down-Coding: The Yin-Yang of Coding Evaluation and Management Services

Can I be honest here? I am thrilled that I am finished with the 1995 and 1997 ("95 and 97") evaluation and management (E/M) guidelines for office and outpatient visits. Okay, okay, obviously I am not serious, but I am happy seeing that sentence typed out (and a girl can dream)! In my opinion, in all of my years auditing claims and documentation for office visits, I believe the 95 and 97 guidelines have created the proverbial "bean-counting" method of choosing a level of E/M CPT® code. I think this has undoubtedly led to one of the most prevailing...

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