tci Part B Insider - 2016 Issue 12

E/M Coding: Can You Code These 3 E/M Scenarios?

Read the documentation and select a code before you read our solution. If you’re a primary care practice—or even a surgical office—chances are strong that E/M services make up a significant portion of your income. But every time Medicare or the RACs audit E/M codes, they inevitably find massive errors that stem from both undercoding and overcoding. To ensure that you are coding your E/M services appropriately, we’ve put together three quick E/M documentation examples. Read through the clinician’s notes, and then determine which E/M code you would assign to the service. Example 1:...

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