tci E/M Coding Alert - 2023 Issue Q1

Reader Questions: Educate Providers to Avoid Overcoding

Question: We have a provider in our practice who insists on adding an office/outpatient evaluation and management (E/M) code for every patient who already has an established plan of care. The provider states that the patient’s care plan changes at every encounter, and even if they are coming in for care they have had for years, the situation is always changing. However, when I look at the documentation, I see nothing has changed since the last encounter, and no new problems are being addressed to justify the E/M. How do I communicate effectively to the provider that only...

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