Office/outpatient E/M guidelines have changed how medical decision making (MDM) is scored. What is an appropriate coding-compliance education response for the physician group?
Select an answer to reveal the explanation.
Short Explanation
When the E/M playbook changes, you don’t keep running last year’s offense. A pocket card and short training help clinicians document what MDM actually needs now. That’s education that protects levels and audits alike.
Full Explanation
CMS and CPT office/outpatient E/M revisions shifted level selection toward MDM or time, reducing reliance on history/exam bullet counting for those visits. Compliance programs should re-educate providers when guidelines change so documentation supports the chosen level. Practical tools such as MDM pocket cards, paired with brief specialty-aware training, help align documentation with current rules without encouraging upcoding.