tci Part B Insider - 2014 Issue 28

E/M Coding: Get These 5 E/M Answers--Straight From the Source

Know who needs to sign incident to records—and who doesn’t. When it comes to E/M coding, the services often seem fairly straightforward but the coding requirements can take hours to interpret. If you get hung up on common E/M questions, check out the following answers provided directly from CMS and the MACs. DNR Discussions May Not Impact Level Question 1: If a physician talks with a patient about a do not resuscitate (DNR) order and documents the conversation, would this be a high-level risk management option under medical decision making even though the patient’s prognosis may...

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