White Paper

3 Pages
  • 3 Pages

5 Keys to E/M Coding and Documentation Changes in 2021

 

Learn about new coding guidelines.

For more than two decades, doctors have been coding for Evaluation and Management (E/M) services based on three essential elements of history, exam, and medical decision making (MDM). These guidelines, particularly in regard to MDM, have been vague and understood in a variety of ways. This white paper reviews that medical necessity is the overall precedent for deciding the appropriate level of service and discusses what that means when it comes to documentation.