AMA CPT® Assistant - 1995 Issue 2 (February)

Documentation Guidelines for Evaluation and Management Services Questions and Answers (Summer 1995)

Summer 1995 pages 10-13 Documentation Guidelines for Evaluation and Management Services Questions and Answers These questions and answers have been jointly developed by the Health Care Financing Administration (HCFA) and the American Medical Association (AMA), March 1995. 1. Are these guidelines required? No. Physicians are not required to use these guidelines in documenting their services. However, it is important to note that all physicians are potentially subject to post payment review. In the event of a review, Medicare carriers will be using these guidelines in helping them to determine/verify that the reported services were actually rendered. Physicians may find...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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