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What part of the medical record is used to determine the correct E/M code used for billing & coding?

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Final answer:

The correct E/M code for medical billing is determined by a thorough review of the patient's medical record, which includes the complexity of medical decision-making, patient history, and the time spent on evaluating or managing the patient. ICD codes found in medical records are typically used for lab test orderings and treatment verification by health-care systems. Key considerations in policy development for health records include balancing cost-effectiveness, patient quality of life, and privacy.

Step-by-step explanation:

The correct E/M code (Evaluation and Management code) used for billing & coding is typically determined by various sections of the medical record. Medical coders will review the details of the encounter, including the complexity of the medical decision-making, the extent of the history and examination, and the time spent with the patient. They also use documentation of the patient's complaints, the clinician's findings, and the plan for care to assign the appropriate E/M code. This is essential for accurate billing and insurance reimbursement.

Various documents within a medical record are important in this process. For instance, the clinician's notes, laboratory test results, imaging studies, and consultation reports all contribute to determining the level of E/M services provided. These details must be appropriately documented to support the E/M code selected for the billing process.

In practical applications, ICD codes are crucial for a wide range of medical practices, such as ordering laboratory tests, prescribing treatments, claiming insurance reimbursements, and recording vital statistics in public health records.

Locations of ICD Codes

Medical laboratories for identifying necessary tests

Health-care management systems for treatment verification

Policy Development Questions

How can we ensure that treatments and diagnoses provided are cost-effective without compromising patient quality of life?

What measures are necessary to maintain patient privacy while still enabling effective treatment?

How can health records be used to improve public health without infringing on individual privacy?

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