Choose the DGs that best suit your practice

Subscribe or sign in to view the full article.

Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains how different Medicare E/M documentation guideline versions may affect documentation style, audit support, and specialty-specific reporting. It is aimed at coders, compliance staff, and providers who document E/M services and need a general overview of guideline selection, documentation considerations, and unlisted E/M reporting issues.

Why This Topic Matters

E/M documentation is a common source of audit and payment review, so understanding the broader guideline framework and documentation expectations can affect coding consistency and claim defensibility. The article helps readers gauge whether the premium content is relevant to their specialty, documentation workflow, and reimbursement review concerns.

Article Sections

  1. Choosing Between the 1995 and 1997 Documentation Guidelines

    Compares the two Medicare documentation guideline versions and discusses how they may fit different practice types and specialties. It also addresses general audit and specificity considerations.

  2. Tips for both versions of guidelines

    Summarizes general documentation and exam-recording topics that apply regardless of guideline version. The section focuses on broad charting habits and history documentation.

  3. Report 99499 when documentation does not support another E/M code

    Covers unlisted E/M reporting in the context of documentation review and payment adjustment. It also discusses carrier behavior, remittance signaling, and general denial patterns.

What You Will Learn

  • How the article frames the choice between two Medicare E/M documentation guideline versions
  • What general documentation topics are emphasized for E/M services
  • How the article addresses unlisted E/M reporting in audit and payment-review situations
  • What types of payer and carrier practices are discussed in connection with E/M claims

Who Should Read This

  • Medical coders
  • Coding auditors
  • Compliance officers
  • Physicians and clinical providers
  • Practice administrators
  • Reimbursement consultants

Codes Discussed

Modifiers Discussed


Subscribe or sign in to view the full article.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

Related Articles

Articles are listed in order of calculated relevance.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?