tci Part B Insider - 2005 Issue 22

Part B Coding Coach: Accurately Score Medical Decision Making To Maximize Reimbursement For Your E/M Claims

Hint: Assign 2 points for reading radiology resultsIf you're having trouble making decisions about medical decision making (MDM), you're not alone. Undercoding E/M claims is a common physician blunder that can take a serious blow to your bottom line.Medical decision making is only one of the three key E/M components, but it's considered the most complex, and most often inaccurately assessed, component. Study these E/M examples to help you master scoring MDM - and win big in the E/M claims arena. Break Down The Decision Making The key to determining MDM is to understand that each of the...

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