TrailBlazer Medicare E & M Service Coding and Audit Worksheet
| This
FREE Medicare
Evaluation and Management (E&M) Coding and/or Audit
Worksheet can help determine the appropriate level of service for
medical care provided using the system outlined by TrailBlazer Health
Enterprizes. TrailBlazer is the Medicare carrier for Colorado, New Mexico, Oklahoma, Texas, and the Indian Health Service. This worksheet is a fillable PDF form. This allows your work to be saved for future reference in an electronic format. Check out our FREE Medicare DRG modifier worksheet. |
Trailblazer Medicare Audit Tool |
The FREE Medicare Evaluation and Management (E&M) Coding and/or Audit Worksheet has scoring tools for the history, exam, and medical decsion making elements that are required for all E&M encounters. This worksheet includes scoring tools for the 1995 and 1997 Documentation Guidelines for Evaluation and Management Services published by Medicare.
The E&M Coding/Audit Worksheet uses the method outlined in "Thinking on Paper: Guidelines for Documenting Medical Decision Making" by Robert L. Edsall and Kent J. Moore and the Trailblazer Health documentation worksheet
References for the E&M Coding/Audit Worksheet
- Thinking on Paper: Guidelines for Documenting Medical Decision Making
- 1997
Documentation Guidelines for Evaluation and Management Services

- 1995
Documentation Guidelines for Evaluation and Management Services

- Trailblazer
Health documentation worksheet
(for CO, NM, OK,
and TX)
MedicalTemplates are in the Adobe PDF format, which requires the free Adobe Reader. With Adobe Reader, these templates can be printed as many times as needed on paper meeting your specifications or the specifications of any clinic, hospital, or other health care facility.
For improving hospital documentation and MS-DRG coding, check out HospitalDocumentation.com