tci Medicare Compliance & Reimbursement - 2019 Issue 11

Coding Quiz Answers: Check Your Answers On Our E/M Documentation Quiz

Hint: Know the basic requirements for coding critical care. Once you’ve answered the quiz questions, compare your answers with the ones provided below: Answer 1: You need two of the three key E/M components — history, exam, and medical decision-making — to report subsequent hospital care services. Moreover, those two components must be fully documented and match the level of the E/M code you select to justify the use of each subsequent care code. If there is little or no documentation, then you need to change the code. Typically, physicians document the exam and medical decision-making components to...

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