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This book explores Evaluation and Management (E/M) coding and serves as a resource in the practice and application of level of service codes.

For two decades the 1995 and 1997 guidelines have provided guidance and structure around the documentation requirements necessary to support professional, outpatient services. After twenty-three years, Medicare has announced the adoption of a new set of standards to be released on January 1, 2021.

This book will serve as a guide for correct code assignment and as an educational resource for the 1995, 1997 and 2021 documentation guidelines.

Table of Contents

  1. Cover
  2. Half-Title Page
  3. Title Page
  4. Copyright
  5. Abstract
  6. Contents
  7. Chapter 1 Introduction
  8. Chapter 2 General Principles of Medical Record Documentation
  9. Chapter 3 Classification and Structure of the Evaluation and Management System
  10. Chapter 4 1995 Documentation Guidelines
  11. Chapter 5 1997 Documentation Guidelines
  12. Chapter 5 Definitions of Commonly Used Terms
  13. Chapter 5 2021 Documentation Guideline Changes
  14. References
  15. About the Author
  16. Index
  17. Backcover
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