tci Part B Insider - 2014 Issue 22

E/M Coding: This Payer Clarifies 'New Problem' From MDM Perspective

You can get extra points under ‘management options’ for new problems…if you know what they are. When it comes to choosing the overall level of service for an evaluation and management encounter, such as an office visit, most coders will tell you that determining the medical decision making (MDM) complexity is the most complicated and difficult piece of the puzzle. Not only is the MDM a head-scratcher, but even the individual elements under it can be tough to navigate.   Such is the case when addressing a new problem, which can snag you more points than an...

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