AMA CPT® Assistant - 2000 Issue 2 (February)

Documentation Guidelines Update (February 2000)

February 2000 page 3 Coding Update Documentation Guidelines Update     Emphasize clinical communications as the primary role of the medical record and the need for confidentiality     Make requested revisions to the history, examination, and medical decision making guidelines components     Revise body system examination elements in the draft guidelines in response to specialty and other requests     Identify ways to reduce the role of "counting" of examination elements by emphasizing the importance of the actual CPT     definitions and of using all pertinent information in the medical record that bears on the level of E&M code At the 1999 Annual Meeting of...

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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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