decisionhealth Newsletters, Part B News - 2012 Issue 5 (May)
Let medical decision-making drive your E/M billing to ensure success
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Article Overview
This piece discusses evaluation and management (E/M) coding from an audit and compliance perspective, with emphasis on how medical decision-making, documentation support, and time-based billing considerations affect code selection. It is aimed at clinicians, coders, auditors, and compliance staff who want a general understanding of common E/M review focus areas and the types of guidance the article provides.
Why This Topic Matters
E/M services are frequent audit targets because they are billed often and rely on documentation judgment. Understanding the article helps readers evaluate whether its guidance is relevant to provider documentation, compliance review, and E/M auditing workflows.
What You Will Learn
- Why E/M services are often targeted in audits
- How medical decision-making relates to E/M level selection
- What kinds of documentation support are discussed for E/M services
- When time-based billing may be considered for an encounter
- Common compliance concerns raised in E/M auditing
Who Should Read This
- Physicians
- Coders
- Medical billers
- Compliance staff
- Auditors
- Practice managers
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