After several months of using the new evaluation and management (E/M) coding rules, it has become clear that the most difficult chore of coding office visits now is assessing data to determine the ...

To a layperson, medical codes look like a different language, and in a way they are. Medical coding is a highly complex process in healthcare in which clinicians and revenue cycle staff work together ...

Evaluation and management coding is now based on medical decision-making (MDM), requiring 2 of 3 categories (complexity, data, risk) and strict adherence to medical necessity. Moderate MDM includes ...