Medicare E & M Service Coding and Audit Worksheet



Our FREE Medicare Evaluation and Management (E&M) Coding and/or Audit Worksheet can help determine the appropriate level of service for medical care provided, helping acheive maximal reimbursement from third party payors such as Medicare for the work actually done.

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TrailBlazer Version
(for CO, NM, OK, and TX)



  
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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 HGSA documentation worksheet.  This method is used by most Medicare carriers.  

References for the E&M Coding/Audit Worksheet

Important Note

Health care providers in Colorado, New Mexico, Oklahoma, Texas, and the Indian Health Service must used the method developed by Trailblazer Health, the local Medicare Carrier,  to determine the complexity of Medical Decsion Making.  


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