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Part B Insider (Multispecialty) Coding Alert

E/m Coding:
Can You Spot the Problem in This Inpatient E/M Note?

Review this documentation and determine how you’d code it before you read the solution. When you see an extremely thorough initial inpatient E/M note, your first instinct may be to agree with the physician’s high-level code for her extensive work. But if even one element of a particular code isn’t met, you won’t be able to report it—even if the [...]