E/M Coding still has confusion when capturing “data points” elements. When deciding to give credit for either an independent interpretation (CAT 2) or a review of test results (CAT 1) is an often misunderstood component of the Medical Decision Making (MDM) table.

Proper documentation of independent interpretation is required to impact the MDM, and consequently, reimbursement.

Terry breaks down the compliance issues and best practices to make sure you are not over-coding. (Also, a shout out to Shannon DeConda and her excellent article on the topic on the NAMAS blog.)

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