• TrailBlazer E&M Coding Cheat Sheet

    Clear, complete, and concise medical documentation is critical to providing patients with high quality and safe medical care. Medical documentation is also essential for accurate and timely payment for healthcare services. Qualifying for payment requires skillful application of the documentation guidelines for evaluation and management services published by the Center

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  • E & M Service Coding and Audit Worksheet

    Clear, complete, and concise medical documentation is critical to providing patients with high quality and safe medical care. Medical documentation is also essential for accurate and timely payment for healthcare services. Qualifying for payment requires skillful application of the documentation guidelines for evaluation and management services published by the Center

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  • Emergency Department Downcoding Rate

    What is Downcoding? Downcoding occurs when an insurer decreases the E&M service level to a lower code, resulting in lower payment for the service delivered.  For example, submitting a charge for a level 5 emergency department visit (99285, the highest level) for “allergic rhinitis” is likely to be downcoded. What

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  • The official 1995 E&M Guidelines from CMS

    Download the 1995 E&M Guidelines as a PDF

    What are E&M Services? Not all medical services are covered under the 1995 E&M Guidelines. Surgeries, lab tests, preventative medicine, counseling, and imaging studies have separate documentation rules. What are the differences between the 1995 and 1997 E&M Guidelines? The 1995 E&M Guidelines issued by CMS were the first medical

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  • E&M Coding Accuracy – Family Practice Clinic

    Why is E&M Coding Accuracy important? For most medical practices, E&M services represent the bulk of their charges.  Accurate coding ensures that you are paid for the medical services you actually provide and reduces your RAC audit risk.    The data was extracted from 429 clinic notes from a family medicine

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