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Tag Archives: Medical Decision Making

External Source: Review of External Notes

Compliance, E/M Coding & Auditing, Shannon DeConda, Today's TakeBy NAMASMay 25, 2022

Have you ever had one of those questions that you think you have the answer to, but the more you read it, the more you’re swayed the other way — and then you read it again and you have an even different answer? Well, one of our NAMAS members (and a friend of mine) emailed…

Coding for a Performance of an X-ray Service vs. Counting the Work as a Part of MDM

E/M Coding & AuditingBy NAMASFebruary 18, 2022

  February 18, 2022 | By Stephanie Allard, CPC, CEMA, RHIT When x-rays are audited on the same date as an E/M encounter we have one of three decisions to make about the work that went into the radiological exam when the practice owns x-ray equipment and does their own interpretations internally. First, we must…

Auditing Time-Based E/Ms Under 2021 Guidelines

2021 E&M Changes, E/M Coding & Auditing, Grant HuangBy NAMASDecember 24, 2021

  December 24, 2021 | By Grant Huang, CPMA, CPC The 2021 E/M guidelines’ more permissive rules for time-based coding is a potential watershed moment for physicians who want to spend less of their time documenting E/M notes. But if we interpret these changes to mean that the longstanding concept of “medical necessity” can be…

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