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Medical Billing Blog
Posted on April 5, 2014 by · Leave a Comment
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Medical Billing Codes

Medical Billing Codes Helps In Reimbursement

Evaluation and Management codes are used by doctors in the United States to be reimbursed by programs such as Medicare. Various evaluation and management services are available, which include emergency room visits, consultation, established patients and new patients.

New patient services refer to when a patient is attended by a new doctor in the same clinic or the patient has never seen the doctor for the past three years. When a doctor has treated a patient, then it refers to Established patient service. A physician has to document a consultation service with a request, reason and response in it. In the case of emergency room visits, it is done in emergency rooms.

The first thing that the doctor has to do for Evaluation and Management codes is that he has to have a detailed discussion of the patient’s history, which includes hereditary illnesses, family, present illnesses, social history and a review of the whole body. Either the doctor gets this information by a discussion in person or the patient can complete a form in the waiting room. In the evaluation and management code for medical billing, discussing the history of the patient is an essential part. The provider can validate a high level of code if the history is discussed in detail.

Physical examination is the second part of medical billing codes. This can be either an examination of organ systems or the body areas. The more thorough the examination, the higher the amount of medical bills reimbursed.

Evaluation And Management Codes

Medical Billing Codes Has Three Section

The last and the final section for Evaluation and Management codes session are assessment and planning. This is the stage where the doctors decide on the diagnosis, the management options that are necessary to take care for the diagnosis, and finally the risks involved in treating the same. The section also involves documenting the review of medical records. The doctor also should formulate the decision about the diagnosis. As the diagnosis, its treatment and the risks involved increases, the amount of medical re-imbursement also increases.

There may be other factors that are contributing but they are not an integral part of the evaluation and management process. The contributing factors include, counseling that is the time spent on counseling the patient’s condition. The second one is the coordination of care, which is the time taken to coordinate care among the other physicians. Finally, the total time spent with the patient.

By following the right medical billing codes, to get your medical bills done will be very helpful and get the same reimbursed.

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