Lori Carlin
Author: Lori Carlin
Director – Pinnacle Integrated Coding Solutions


(303) 801-0111


CMS is proposing major changes affecting the way physicians report Evaluation and Management (“E/M”) visits.


CMS Proposal: Practitioners Choice

CMS is proposing that practitioners have a choice:

  • Continue to use either the 1995 or 1997 E/M guidelines
  • Code and document by time or
  • New reporting methodology of MDM only


Using the new MDM only method, the physician would only be required to document a minimum exam and/or history. This will allow practitioners to focus their documentation on what has changed since the last visit or on pertinent items that have not changed.

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