tci Part B Insider - 2011 Issue 31

Reader Question: Assign 3 'Vitals' to Just 1 Exam Bullet

Question: I read your previous article on "double dipping" with great interest (the Insider, Vol. 12, no. 30) and I have a follow-up question. Can you please explain how taking the vital signs contribute to determining the E/M service's physical exam?Answer: Checking any three vital signs will count as one bullet in the physical exam, based on the 1997 documentation guidelines for E/M services, which you can find at www.cms.gov/MLNEdWebGuide/25_EMDOC.asp. Here's how it works: Under the 1997 documentation guidelines for E/M services, performing (and documenting) any three of the following seven vital signs will count...

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