Specific requirements Most payers require a clear medical reason for billing 92225/92226, with an appropriate medical diagnosis and a reason for documenting a condition or departure from normal. Many payers require that the service includes two examination...
Coding for internal medicine requires understanding the relevant medical terminology, coding guidelines, and documentation requirements. Some unique internal medicine coding challenges include: Coding for chronic conditions: Internal medicine often involves managing chronic conditions such as diabetes, ...
While the EHR brought many benefits, physicians learned quickly that the technology was not necessarily built to support their workflow or documentation process. In documenting for each E/M encounter, providers were faced with an EHR built largely to support reimbursement requirements. Without clinician...