History Of Evaluation And Management ( E / M ) Codes

Issues and Trends Purpose and history of Evaluation and Management (E/M) Codes Accurate and comprehensible medical records documents are crucial for a positive outcome for the patient and health care providers. Health records sequentially convey significant details concerning patient’s health history and future care plans. These records are pertinent when initiating care in the acute and chronic setting for the patient. Medicare, Medicaid, and other personal health care providers necessitate rational documentation to guarantee that a procedure and/or examination is consistent with the individual’s health care coverage. The documentation also authorizes the place of health care treatment, eligible medical requirement and suitability of diagnosis and/or therapy, and that the services rendered were appropriately documented. Precise and reliable medical documentation should be recorded at the time of treatment or shortly after the intervention. Inappropriate documentation can result in erroneous and inappropriate imbursement for provided health care s ervices. Evaluation and Management (E/M) coding principles and guidelines were founded by Congress in 1995 and amended two years later. E/M codes are based on the foundation of the Current Procedural Terminology (CPT) codes recognized by the American Medical Association (AMA). Active health care suppliers access E/M coding for medical reimbursement by Private Insurances, Medicaid, and Medicare programs. The E/M codes are aShow MoreRelatedexam on inpatient and outpatient codinhg Essay1230 Words   |  5 PagesPayment Reform are to decrease Medicare expenditures. As well as redistribute physician’s payments more equitably. Also to ensure quality health care at a reasonable rate. 2. I would use modifier -57, decision for surgery with the E/M code for this case. Due to the E/M service and the decision for surgery were made earlier that same day. 3. 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