How to Get All the 99214s You Deserve -- Family Practice Management
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www.aafp.org / fpm ■ F A M I L Y P R A C T I C E M A N A G E M E N T ■ 43 IL LU ST R A TI O N B Y L A R R Y J O ST Few non-clinical issues have created as much controversy as the CPT codes for evaluation and management (E/M) services and the accompanying documentation guidelines. They have spurred a cottage industry of templates, cheat sheets, score cards, tool kits and the like, all designed to help you verify that your medical records contain the documentation necessary to support the codes you choose. Tools in hand, physicians, midlevel providers and support staff members hurry to E/M coding seminars in hopes of finally getting it right. Despite these efforts, evidence suggests that family physicians may in fact be undercoding a good deal of the time. A recent study designed to evaluate the coding accuracy of family physicians found that in 33 percent of the visits involving established patients, physicians’ code selections were
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