Question: Consider the statement: If it is not documented, it did not happen. How is this relevant to the issue of coding Evaluation and Management (E/M)

  • Consider the statement: If it is not documented, it did not happen. How is this relevant to the issue of coding Evaluation and Management (E/M) procedures and services?

  • What if the visit is not documented in the chart at the end of the day or week when you go to bill? Do you bill it anyway according to the fee slip or the providers say so?

  • How does location of services influence coding of E/M encounters?

 

     
     

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