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Evaluation and Management (E/M) Codes



Manual: Comprehensive Compliance Plans for Healthcare Organizations (Ver 2)

MCN's customizable template, Evaluation and Management (E/M) Codes, is taken from our Comprehensive Compliance Plans for Healthcare Organizations. MCN Healthcare's proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals.

MCN's templates save you time, money and resources, rather than developing healthcare policy and procedure manuals from scratch.

Here is some sample content from Evaluation and Management (E/M) Codes:

     EVALUATION AND MANAGEMENT E/M CODES Evaluation and Management codes describe professional physician services rendered to patients in various inpatient and outpatient settings. The nature of the service rendered, the place of service and the patient's classification as new or established often determine the appropriate E/M code for the encounter. Several broad categories of E/M codes are listed below. CPT Modifiers may be used to explain or clarify special circumstances without changing the definition of the procedure performed. CATEGORIES: Office or other outpatient service Hospital...
Second excerpt:
     ... complaint or other reason for encounter, with or without a diagnosis being established at the time of the encounter. The E/M codes recognize five types of presenting problems that are defined as follows: Minimal: a problem that may not require the presence of the physician but service is provided under the physician's supervision. Self-limited or minor: a problem that runs a definite and prescribed course, is transient in nature and is not likely to permanently alter health status...


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