Evaluation and Management Codes Final 1
Running Head: ISSUES AND TRENDS PAPER
Issues and Trends
Mabel Yuyun
University of South Alabama
1
ISSUES AND TRENDS PAPER
2
Issues and Trends: Evaluation and Management codes
Over the years many physicians and practitioners have under coded for their services.
This has been attributed to a lack of understanding of the Evaluation and Management (E/M) codes. In an effort to help physicians understand the process of E/M documentation, guidelines have been set in place. Some institutions such as the E/M University and American Academy of
Professional Coders (AAPC) have provided tools to guide physicians with E/M codes and documentation; in order to get an adequate compensation for their labor. The purpose of the paper is to identify the creator and purpose of E/M codes, and also to identify the three key components of E/M documentation. This paper will also portray the benefit of understanding
E/M codes in practice, and it will point out some legal and ethical dilemmas encountered with the use of E/M documentation.
The purpose of E/M codes is to provide tools which will help educate physicians on E/M documentation and coding. Other than increased revenues, the E/M codes helps to improve documentation of patient data and clinical status. E/M codes were founded by the E/M
University physicians and their intention was to help physicians effectively understand and utilize the E/M codes in patient care.
Hudson explains that E/M is the official abbreviation for evaluation and management codes, which is a method by which physician-patient encounter is transcribed into a five digit current procedural terminology (CPT) codes (2014). The CPT code is a code with 5 numerals generated at each patient encounter. These codes are essential for billing in every step and it also describes the patient’s encounters with the physician.
The three key components of E/M documentation are history, physical examination, and medical decision-making. The history of E/M codes is a narration
Issues and Trends
Mabel Yuyun
University of South Alabama
1
ISSUES AND TRENDS PAPER
2
Issues and Trends: Evaluation and Management codes
Over the years many physicians and practitioners have under coded for their services.
This has been attributed to a lack of understanding of the Evaluation and Management (E/M) codes. In an effort to help physicians understand the process of E/M documentation, guidelines have been set in place. Some institutions such as the E/M University and American Academy of
Professional Coders (AAPC) have provided tools to guide physicians with E/M codes and documentation; in order to get an adequate compensation for their labor. The purpose of the paper is to identify the creator and purpose of E/M codes, and also to identify the three key components of E/M documentation. This paper will also portray the benefit of understanding
E/M codes in practice, and it will point out some legal and ethical dilemmas encountered with the use of E/M documentation.
The purpose of E/M codes is to provide tools which will help educate physicians on E/M documentation and coding. Other than increased revenues, the E/M codes helps to improve documentation of patient data and clinical status. E/M codes were founded by the E/M
University physicians and their intention was to help physicians effectively understand and utilize the E/M codes in patient care.
Hudson explains that E/M is the official abbreviation for evaluation and management codes, which is a method by which physician-patient encounter is transcribed into a five digit current procedural terminology (CPT) codes (2014). The CPT code is a code with 5 numerals generated at each patient encounter. These codes are essential for billing in every step and it also describes the patient’s encounters with the physician.
The three key components of E/M documentation are history, physical examination, and medical decision-making. The history of E/M codes is a narration