Tag Archives | Evaluation and Management

New Coding Study Reveals E&M Encounters Per Hour and the Need for Cyber Security

In a recent poll, only 80 percent of respondents to a question of how many evaluation and management (E&M) encounters they could code per hour said that they spent at least some portion of their time at work performing that task. I am not certain as to the reason for this; however, I do plan […]

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You Should Worry about Medical Coding Guidelines Changing

Changes are coming with Evaluation and Management (E&M) coding guidelines. I will use this space to explain why these changes will be both a good thing and a challenge to physicians, particularly those who derive much of their income from office visits. CHANGE IS OVERDUE It has been 20 years since the 1997 E&M guidelines […]

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Why Medical Necessity Continues to Be a Top Priority

Medical necessity is an important issue. Just review the definition of medical necessity: “a legal doctrine, related to activities which may be justified as reasonable, necessary, and/or appropriate, based on evidence-based clinical standards of care.” So, what does that really mean? A few years ago, I was preparing to speak at a national conference with […]

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ICD-10 and DSM-5: A Unique Teaching Curriculum

Much has been written about the pro’s and con’s of the ICD-10 delay. To date, CMS has yet to issue the new deadline, or provide guidelines for how organizations are to proceed.

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Urinary Incontinence Evaluation and Management

The evaluation of UI has as its goal confirmation of the diagnosis, identification of any reversible causes, and identification of factors that require further diagnostic or therapeutic interventions

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