decisionhealth Newsletters, Answer Books - 2017 Issue 5 (May)
E/M service guidelines / Train doctors on E/M level selection
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Article Overview
This article discusses evaluation and management (E/M) service guidelines from a practice management and documentation-improvement perspective. It focuses on why E/M level selection can vary across physicians, how communication and training may improve consistency, and how payer review activity can influence documentation behavior. The piece is aimed at coders, coding directors, physicians, and practice leaders who oversee E/M documentation quality.
Why This Topic Matters
E/M documentation and level selection directly affect claim outcomes, audit risk, and revenue integrity. Understanding common documentation gaps and physician education strategies helps practices reduce denials and improve consistency.
Article Sections
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E/M level selection challenges
Introduces the general problem of inconsistent E/M documentation and level selection across physicians and payers. Explains why documentation quality and training matter in a practice setting.
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Communicate E/M selection deficiencies
Outlines communication approaches used to address physician documentation and level-selection variation. Describes several practice-management methods for feedback, education, and peer comparison.
What You Will Learn
- Why E/M documentation consistency matters in physician practices
- How payer review activity can expose documentation weaknesses
- Common approaches to physician education on E/M service selection
- Ways coding leaders may communicate documentation concerns to providers
- How group feedback processes can support more consistent E/M practices
Who Should Read This
- Physicians
- Coders
- Coding directors
- Compliance staff
- Practice managers
- Revenue cycle leaders
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