tci Part B Insider - 2021 Issue Q3

Part B Coding Coach: Bolster ED History Documentation With These 10 Tips

Ensure notes support the E/M level every time. If you’re an emergency department coder, then you know it’s necessary to meet all three components of an ED E/M code’s criteria (history, exam, and medical decision making) before you make a final decision on which level to report. However, if your history level falls short, your documentation may not be strong enough to report higher-level E/M codes. That was the word from Linda Duckworth, CHC, CPC, senior manager with Abeo Advisory Solutions, during the company’s April 21, 2021, webinar, “E/M Coding for Emergency Medicine: It...

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