ITEMS IN FPM ON TOPIC:
Evaluation and management guidelines
Knowing the rules will give you the confidence to submit this seldom-used code.
The author describes common presenting problems in family medicine and recommends an evaluation and management code for each vignette and the rationale for selecting the code.
This article describes the ways in which different Medicare carriers interpret Medicare's documentation guidelines differently, thus amplifying the ambiguity of the guidelines and complicating coding and reimbursement.
The article, the third in a three-part series, details the section of Medicare's E/M documentation guidelines pertaining to medical decision making and explains how to comply and practice efficiently with them.
The article, the second in a three-part series, details the section of Medicare's E/M documentation guidelines pertaining to exams and explains how to comply and practice efficiently with them.
The author details Medicare's guidelines for documenting the history portion of E/M visits. Medicare and many private payers use the guidelines to determine whether physicians' documentation supports the level of service they code.
Outlines an approach to CPT coding for common evaluation and management services that works from medical decision making "backwards" to physical exam and history.
A simple rule change could improve access and quality of care while reducing inequities between compensation for E/M services and for procedures.
The centerpiece of this article is the revised "Pocket Guide to the Documentation Guidelines" and the progress note template that originally appeared in January 1998. The article will include a brief introduction to the tools and a note for readers to analyze using the pocket guide.