tci Medicare Compliance & Reimbursement - 2014 Issue 15

E/M Coding: Navigate Medical Decision Making Complexity Smoothly

Assign points to each of the three MDM components that your doctor performs to determine the level of MDM. You know that inappropriate reporting of E/M levels has been inviting significant scrutiny recently. To make matters worse, this is one area that confounds even seasoned coders. Such is the case when addressing a new problem, which can snag you more points than an established one. But many practices struggle to define what makes a new problem “new.” Good news: Part B MAC Palmetto GBA has given pointers on how to decide the overall level of service for...

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