decisionhealth Newsletters, Coder Pink Sheets - 2021 Issue 9 (September)
E/M 2021: Add it up: Train staff with data review examples, illustrations
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Article Overview
This Find-A-Code article is a staff-training resource focused on the data-review portion of 2021 office and outpatient E/M medical decision making. It uses illustrative examples to show how different combinations of notes, test results, ordered tests, and historian information fit into broad data-complexity levels. The material is intended for coders, auditors, educators, and physicians who want to reduce errors in documentation review and support consistent E/M reporting.
Why This Topic Matters
Accurate counting of reviewed and analyzed data affects office and outpatient E/M level selection, so training staff on these examples can help reduce both undercoding and overcoding.
What You Will Learn
- How the article frames data review and analysis for 2021 office/outpatient E/M encounters.
- How training examples are grouped by broad data-complexity level.
- What types of documentation elements are used in the article's illustrations.
- Why staff education is emphasized for consistent E/M coding.
Who Should Read This
- Medical coders
- Coding auditors
- Physician practices
- Clinical documentation staff
- E/M educators
Codes Discussed
Code Ranges Discussed
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