A New Element of MDM: Social Determinants of Health

  March 26, 2021 | By Jamee Black, CPC, COC, CPMA The American Medical Association (AMA) recently released changes to the current Evaluation and Management (E/M) documentation guidelines for the Office and Other Outpatient Visit code range (99202–99215). The new guidelines focus on medical decision making (MDM), and are intended to more closely reflect the…

Risk Adjustment Opportunities in the World of Simplified Documentation

March 6, 2020 | By Paul Spencer, CPC, COC     Something of a preemptive celebration is currently going on in the world of physician documentation. As we know, beginning in January 2021, CMS will modify documentation guidelines for evaluation & management services to put more of an emphasis on medical decision making, rather than…