Hi Anthony
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School
Herzing University *
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Course
MC285-7
Subject
Medicine
Date
Feb 20, 2024
Type
docx
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1
Uploaded by LieutenantOxide10016
Hi Anthony, I liked that you stated in your FAQ, that the purpose of anything documented in the patient’s medical record is to make sure the information is accurate and that it represents the patients clinical condition and the treatment they are going to get in the ED. Likewise, the importance of the ED physicians own documentation and interpretation, because there is a requirement for CPT codes 99282-99285 for a medically appropriate history and/or exam for reporting Emergency Department E/M services. According to Davis (2022), providers will now have options on how they document the medical record to support the code billed. Requirement for documentation on the certain amounts of history and exam has been eliminated. Instead, there will be a requirement for a medically appropriate history and exam. For a combination of different data elements, unique tests, notes reviewed, tests reviewed, independent
historian will allow these elements to be counted. According to American Medical Association (2023), each unique test, order, or document contributes to the combination of 2 or combination of 3 in category 1. There are 5 levels of ED services, decisions based on a history and exam may require minimal
additional information. However, cases that require chart reviews, tests, and images are credited for increasing complexity. I found this beneficial in understanding amount and or complexity of data to be reviewed element of MDM. As I believe this category to be one of the harder categories to review. Reference: American Medical Association. (2023). CPT 2024 professional edition
(4th ed.)
Davis, J. (2022). Major documentation changes are coming in 2023-got questions? Acep’s got answers. American College of Emergency Physicians. https://www.acep.org/federal-advocacy/federal-advocacy-
overview/regs--eggs/regs--eggs-articles/regs--eggs---october-13-2022
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