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E M Coding Guide Rational Physician Coding Steps 1 Calculate Medical Decision Making MDM 2 Identify target E M code supported by MDM 3 Confirm medical necessity of history exam 4 Perform and document required elements visit us at www EMuniversity com or call us at 1 888 U EM CODE
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E M Coding E M Evaluation and Management How patient encounters are translated into 5 digit numbers to facilitate billing Within each type of encounter there are various levels of care PRSS Inc 99211 35 51 99212 51 73 99213 71 67 99214 97 36 99215 117 36
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E M Documentation Auditors Instructions Refer to data section table below in order to quantify After referring to data circle the entry to the RIGHT in the table
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E M LEVEL WORKSHEET STEP 1 IDENTIFY THE CATEGORY AND SUBCATEGORY OF SERVICE Carefully read the documentation Using the Table of Contents identify the appropriate category subcategory Category Subcategory if applicable new established etc STEP 2 REVIEW THE REPORTING INSTRUCTIONS FOR THE SELECTED CATEGORY OR SUBCATEGORY
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Improve your medical billing and coding for Evaluation and Management services with this free E M coding cheat sheet based on the 1997 E M Guidelines CPT Admission Codes For Initial Inpatient Observation Hospital H Must be knowledgeable of medical terminology coding guidelines and reimbursement methodologies
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Overview of E M Coding The evaluation and management E M service codes although some of the most commonly used codes by physicians of all specialties are among the least understood These codes introduced in the 1992 CPT book were designed to increase accuracy and consistency of use in the reporting of levels of cognitive encounters
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GENERAL PRINCIPLES OF E M DOCUMENTATION 4 COMMON SETS OF CODES USED TO BILL FOR E M SERVICES 5 HCPCS5 International Classification of Diseases 10th Revision Clinical Modification Procedure Coding System ICD 10 CM PCS 6 E M SERVICES PROVIDERS 6 SELECTING THE CODE THAT BEST REPRESENTS THE SERVICE FURNISHED 6 Patient Type 6
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