tci Part B Insider - 2011 Issue 22

Reader Question: Managing Chronic Problems May Elevate E/M Level

Question: Our physician often sees patients who come in with a long list of problems that are often stable. For such a visit, should I use a lower-level E/M?Answer: Such visits can actually involve more history and medical decision making than you may give yourself credit for and may ultimately support a higher-level office visit. You're  often determining whether prescription medication is working (moderate risk related to medical decision making).Key: When treating chronic conditions, think 1997 E/M guidelines. These count documentation of the status of one to two chronic conditions as an expanded problemfocused history of...

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