Revenue Cycle Insider

E/M Coding:

Understand the Importance of History Documentation for E/M Coding

Remember the eight components of HPI when you’re looking at documentation. Since the evaluation and management (E/M) updates occurred in 2021 and 2023, the focus on E/M education has shifted from discussing each documentation component to mainly medical decision making (MDM). While MDM is important and is what we used to determine a level of service, the history and exam [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles of

January 2025

View All

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.