General Surgery Coding Alert - 2004 Issue 23
INSTEAD OF CLINICAL EXAMPLES, TRY MDM EXAMPLES
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Article Overview
This brief article discusses a suggestion for improving E/M coding education by using examples of medical decision making documentation rather than broader clinical examples. It is relevant to coders, HIM professionals, physicians, and educators who work with evaluation and management documentation guidance and physician education.
Why This Topic Matters
It highlights a documentation-education gap that can affect how physicians understand E/M coding expectations and how coders communicate missing documentation elements.
What You Will Learn
- Why some physicians may struggle to interpret E/M coding documentation feedback
- How example-based guidance could support better understanding of medical decision making documentation
- Why the discussion centers on physician education and coding communication rather than code selection details
- The role of the AMA and a coding educator’s perspective in the conversation
Who Should Read This
- Medical coders
- HIM professionals
- Physicians
- Coding educators
- Compliance staff
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