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Auditing: MDM Weigh Surgical Risk to Snag the Correct E/M Level

Published in Family Practice Coding Alert, August 2010

These definitions take the mystery out of moderate vs high surgical management options.
If you audit surgery in addition to family medicine, you could be losing E/M credit unless your emergency, elective, and risk factor vocab is rock solid. Under the Table of Risk’s Management Options Selected column, these factors can change whether the level of risk is moderate or high, affecting the encounter’s type of medical decision making and potentially changing the E/M service’s level.
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Published in Family Practice Coding Alert, August 2010
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