Evaluation and Management
Evaluation and Management, (E/M) encounters are the mainstay of many practices and also provide important information to Claims Examiners that assist them in managing claims effectively.
There are many tools on the market available for E/M leveling as well as CPT guidelines and the 1995 and 1997 Documentation Guidelines that are published by CMS.
Because E/M consumes a large percentage of services provided to Montana injured workers, MSF will focus our audit efforts on E/M visits in the coming year. These audits will establish a base line and provide feedback and information to providers.