Four tips to avoid denials caused by inaccurate E/M levels:
1. Make sure the E/M code supports the specific patient encounter.
2. Consult the 1995 or 1997 E/M guidelines, which specify requirements for time-based billing and billing based on history, exam and medical decision-making.
3. Validate any information that was copied and pasted to ensure it’s relevant to the current encounter.
4. Ensure documentation aligns with the patient’s diagnosis by changing pre-populated fields in EHR templates.
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