A Tool to Help Set Evaluation and Management (E&M) Levels of Service

ICD10monitor November 13, 2023
Erica E. Remer, MD, CCDS

I am the Co-Director of the Intensive Course in Medical Documentation: Clinical, Legal and Economic Implications for Healthcare Providers. It is a course created to remediate folks who had gotten in trouble with their medical boards, but nowadays about 20 percent of attendees are not mandated, but choose to take it.

I have two lawyers who address topics like fraud, abuse, informed consent, responsible use of social media, and malpractice. A faculty member who touts herself as a capitalist corporate compliance officer teaches providers how to use Evaluation and Management (E&M) codes and how to appropriately level visits. My Co-Course Director is a well-known addiction specialist, and discusses controlled substances. And I address putting “mentation” into clinical documentation.

Although many...

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