ED Coding & Reimbursement Alert - 2023 Issue 5
Reader Questions: Look to Medicare for MDM Advice on Rx Management
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Article Overview
This reader Q&A discusses a common medical coding question about the prescription drug management component of MDM and why Medicare contractor guidance is often consulted when CPT guidance is limited. It is aimed at coders, billers, auditors, and clinicians who document evaluation and management services and want to understand the general documentation themes involved in supporting this MDM element.
Why This Topic Matters
Prescription drug management is a frequent documentation issue in evaluation and management coding, and uncertainty can affect whether the MDM level is supportable. Understanding the broad documentation focus helps teams review records more consistently and align with payer expectations.
What You Will Learn
- How the article frames prescription drug management as an MDM documentation topic
- Why Medicare contractor guidance is referenced when CPT guidance is limited
- What broad documentation elements are discussed in relation to medication management
- How the article approaches continuing medications versus changing therapy at a high level
Who Should Read This
- Medical coders
- Coding auditors
- Compliance staff
- Physicians and advanced practice clinicians
- Practice managers
- Billing specialists
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