tci Part B Insider - 2005 Issue 10

Part B Coding Coach: 4 Q&A's End Your Exasperation With E/M Guidelines

A CMS policy official shares the answers you need When choosing an E/M level, many coders are unsure of how to award credit for diagnostic decisions and test ordering and review. You can navigate the maze of E/M guidelines by following this advice from CMS and our coding experts. The scoop: The Coding Institute posed four questions about E/M guidelines to a CMS policy official who spoke with us on the condition of anonymity. Here's what we learned: Collect Credit for Diagnostic Decisions 1. Question: Suppose a physician orders a diagnostic test, such as a colonoscopy, but the patient...

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