The Coder's Guide to Physician Queries

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Publisher :
ISBN 13 : 9781683086772
Total Pages : 120 pages
Book Rating : 4.0/5 (867 download)

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Book Synopsis The Coder's Guide to Physician Queries by : Adrienne Commeree

Download or read book The Coder's Guide to Physician Queries written by Adrienne Commeree and published by . This book was released on 2017-11-27 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is for new and established coders who are looking to expand their knowledge of queries.

The Coder's Guide to Physician Queries, Second Edition

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Publisher :
ISBN 13 : 9781645351047
Total Pages : 110 pages
Book Rating : 4.3/5 (51 download)

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Book Synopsis The Coder's Guide to Physician Queries, Second Edition by : Jillian Harrington

Download or read book The Coder's Guide to Physician Queries, Second Edition written by Jillian Harrington and published by . This book was released on 2021-04 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Coder's Guide to Physician Queries, Second Edition provides easy-to-follow strategies for coding departments to improve their query processes and train their coders on developing and executing physician queries. Using the tools in this guide, new and established coders can revise their practices and train staff to meet the challenges of integrating ICD-10-CM/PCS codes into queries, government payer initiatives, auditor denials, and electronic advances.

CDI Workbook

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Publisher :
ISBN 13 : 9781683088066
Total Pages : 148 pages
Book Rating : 4.0/5 (88 download)

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Book Synopsis CDI Workbook by : Sheila Duhon

Download or read book CDI Workbook written by Sheila Duhon and published by . This book was released on 2018-09 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Physician Queries Handbook

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Publisher :
ISBN 13 : 9781601466341
Total Pages : 0 pages
Book Rating : 4.4/5 (663 download)

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Book Synopsis Physician Queries Handbook by : James S. Kennedy

Download or read book Physician Queries Handbook written by James S. Kennedy and published by . This book was released on 2009-08 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Coders' Dictionary & Reference Guide - First Edition

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Publisher : AAPC
ISBN 13 : 1626889813
Total Pages : 18 pages
Book Rating : 4.6/5 (268 download)

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Book Synopsis Coders' Dictionary & Reference Guide - First Edition by : AAPC

Download or read book Coders' Dictionary & Reference Guide - First Edition written by AAPC and published by AAPC. This book was released on 2020-06-30 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: Finding the coding and billing information you need just got easier. The Coders’ Dictionary & Reference Guide is the perfect companion for coding and billing students and busy professionals. This unique resource, designed for your everyday use, provides a complete reference library in one convenient and affordable volume. Now you can clear the pile of books from your desk and find all the supporting information you need for medical billing and coding. Boost your productivity with fingertip-access to medical terms and industry acronyms. Double-check your modifier usage. Find quick answers to your E/M, anesthesia, and surgery coding questions. Refer to educational illustrations and solidify your reporting know-how with essential lay terms. Speed up your workflow with these beneficial features: Exhaustive list of thousands of medical terms with definitions in an easy-to-understand language Billing, coding and reimbursement terms defined to familiarize you with current regulations, requirements, processes, and agencies How-to guidance for coding procedures from the Surgery section, with explanations of common terms Evaluation and Management (E/M) Survival Guideto help you identify the right choice for E/M service levels Anesthesia primer to distinguish between various types of anesthesia Modifiers and lay descriptions for CPT®and HCPCS modifiers in plain English to eliminate your confusion as to when and how to apply modifiers Lists of prefixes, suffixes, abbreviations, and eponyms frequently used in coding Anatomical illustrations to enhance your understanding of services and procedures Place of service(POS) and type of service (TOS) lists And much more!

The Field Guide to Physician Coding, 4th Edition

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Publisher :
ISBN 13 : 9780999355367
Total Pages : 238 pages
Book Rating : 4.3/5 (553 download)

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Book Synopsis The Field Guide to Physician Coding, 4th Edition by : Betsy Nicoletti

Download or read book The Field Guide to Physician Coding, 4th Edition written by Betsy Nicoletti and published by . This book was released on 2018-06-18 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Field Guide to Physician Coding, 4th Edition, delivers a payload of precise information on coding rules and relevant billing guidelines. Betsy Nicoletti selects topics that answer the questions she is asked most frequently in her speaking and consulting work.

Guide to Clinical Validation Documentation and Coding 2014

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ISBN 13 : 9781601519924
Total Pages : 0 pages
Book Rating : 4.5/5 (199 download)

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Book Synopsis Guide to Clinical Validation Documentation and Coding 2014 by : Optum360

Download or read book Guide to Clinical Validation Documentation and Coding 2014 written by Optum360 and published by . This book was released on 2013-09 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2014 Guide to Clinical Validation, Documentation and Coding provides the clinical criteria necessary for code assignment. This resource describes the clinical documentation needed for determining if the condition is a complication, or when a medical condition should be coded as an additional diagnosis. Now coders, utilization review staff, and HIM managers can systematically evaluate the clinical criteria that influence code assignments and patient care. Covers 50 of the most challenging inpatient medical diagnoses and procedures. Provides detailed clinical criteria and physician documentation requirements. Code assignment justifications are thoroughly outlined. Helps craft physician queries. Learn how to address fine distinctions in a patient's medical condition and ensure appropriate reimbursement. Provides a detailed clinical description of problematic diagnoses or procedures--from a coder's perspective--plus the clinical criteria that support code assignment. Assists coders in determining what clinical elements are necessary for initial diagnosis code assignment, when it should be coded as a complication, and when the condition should be coded as an additional diagnosis. Ties in to ICD-10-PCS. Identifies other terminology that would qualify for the ICD-10-PCS specific root operation term.

Guide to Clinical Validation, Documentation and Coding 2020

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Publisher : Optuminsight
ISBN 13 : 9781622546350
Total Pages : 0 pages
Book Rating : 4.5/5 (463 download)

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Book Synopsis Guide to Clinical Validation, Documentation and Coding 2020 by :

Download or read book Guide to Clinical Validation, Documentation and Coding 2020 written by and published by Optuminsight. This book was released on 2019-12 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Practical Evaluation and Management Coding

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Publisher : Springer Science & Business Media
ISBN 13 : 1597453145
Total Pages : 128 pages
Book Rating : 4.5/5 (974 download)

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Book Synopsis Practical Evaluation and Management Coding by : Christopher L. Taylor

Download or read book Practical Evaluation and Management Coding written by Christopher L. Taylor and published by Springer Science & Business Media. This book was released on 2008-03-14 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: This guide explains the Evaluation and Management (E/M) coding process used by physicians and regulated by the American Medical Association. In four chapters, Dr. Christopher Taylor establishes a step-by-step approach to determining the correct CPT code for the most common patient encounters in the office, hospital, or nursing home. Helpful appendices provide E/M coding guide, templates, and additional information.

The Clinical Documentation Improvement Specialist's Guide to ICD-10

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Publisher : HC Pro, Inc.
ISBN 13 : 1601468172
Total Pages : 163 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis The Clinical Documentation Improvement Specialist's Guide to ICD-10 by : Glenn Krauss

Download or read book The Clinical Documentation Improvement Specialist's Guide to ICD-10 written by Glenn Krauss and published by HC Pro, Inc.. This book was released on 2011-03 with total page 163 pages. Available in PDF, EPUB and Kindle. Book excerpt: Take charge of ICD-10 documentation requirements The implementation of ICD-10 brings with it new documentation requirements that will have a significant impact on the work of your CDI team. The higher degree of specificity of information needed to code accurately will have a direct correlation to reimbursement and compliance. CDI specialists need a firm understanding of the new code set, and the rules that govern it, to obtain the appropriate level of documentation from physicians. The Clinical Documentation Improvement Specialist's Guide to ICD-10 is the only book that addresses ICD-10 from the CDI point of view. Written by CDI experts, it explains the new documentation requirements and clinical indicators of commonly reported diagnoses and the codes associated with those conditions. You'll find the specific documentation requirements to appropriately code conditions such as heart failure, sepsis, and COPD. Learn from your peers The Clinical Documentation Improvement Specialist's Guide to ICD-10 includes case studies from two hospitals that have already begun ICD-10 training so you can use their timelines as a blue print to begin your organization's training and implementation. ICD-10 implementation happens in 2013. It's not too soon to start developing the expertise and comfort level you'll need to manage this important industry change and help your organization make a smooth transition. Benefits: * Tailored exclusively for CDI specialists * Side-by-side comparison of what documentation is necessary now v. what will be required starting October 1, 2013 * Timelines to train physicians in new documentation requirements to ensure readiness by implementation date * Strategies and best practices to ensure physician buy-in

Nursing Case Management

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Publisher : Elsevier Health Sciences
ISBN 13 : 9780323027656
Total Pages : 650 pages
Book Rating : 4.0/5 (276 download)

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Book Synopsis Nursing Case Management by : Elaine Cohen

Download or read book Nursing Case Management written by Elaine Cohen and published by Elsevier Health Sciences. This book was released on 2004-08-26 with total page 650 pages. Available in PDF, EPUB and Kindle. Book excerpt: This classic resource offers complete coverage of nursing case management - from theoretical background and historical perspective to practical applications and how the field is changing to meet the challenges of today's health care environment. It focuses on the implementation of various case management models used throughout the United States and abroad. Key topics include the impact of public policy on health care; understanding the effects of health care reimbursement and its application at the patient level; throughput and capacity management; the impact of the revenue cycle; compliance and regulatory issues; and principles needed to improve case manager-client interaction. This helpful resource is designed to help nurse case managers assess their organization's readiness for case management, prepare and implement a plan to achieve necessary improvements and evaluate the plan's success. Includes numerous proven case management models currently being used in institutions across the country Organized to take the nursing case manager on a journey from the historical development of nursing case management to the successful implementation of a case management program Offers detailed guidance for planning, implementing, and evaluating a case management program Outlines the planning process with information on key topics such as analysis of the organization, the role of the organization's members, selection criteria for new case managers, case management education, credentialing, and partnerships Features guidelines for implementing a case management program with information on ethical issues, technology, compliance, and regulatory issues Addresses the evaluation component of developing and implementing a case management program by presenting information on outcomes, research, documentation, continuous quality improvement, measuring cost effectiveness, care continuum, and evidence-based practice Presents acute care and community based models of case management Highlights the evolution of collaborative models of case management, addressing key elements of joint decision-making, shared accountability, and interdisciplinary systems of care Addresses health care delivery through case management and public policy by presenting current legislative issues and their affect on both health care reimbursement and the application of care at the patient level Presents the insights, experiences, and advice of nursing administrators who have researched and successfully implemented nursing case management programs in various facilities

ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021)

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Publisher : Lulu.com
ISBN 13 : 9781716599989
Total Pages : 128 pages
Book Rating : 4.5/5 (999 download)

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Book Synopsis ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021) by : Department Of Health And Human Services

Download or read book ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021) written by Department Of Health And Human Services and published by Lulu.com. This book was released on 2020-09-06 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.

The CCDS Exam Study Guide

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Publisher : HC Pro, Inc.
ISBN 13 : 1601467206
Total Pages : 155 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis The CCDS Exam Study Guide by :

Download or read book The CCDS Exam Study Guide written by and published by HC Pro, Inc.. This book was released on 2010 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Clinical Documentation Reference Guide - First Edition

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Publisher : AAPC
ISBN 13 : 1626889791
Total Pages : 13 pages
Book Rating : 4.6/5 (268 download)

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Book Synopsis Clinical Documentation Reference Guide - First Edition by : AAPC

Download or read book Clinical Documentation Reference Guide - First Edition written by AAPC and published by AAPC. This book was released on 2020-03-12 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt: It's not the quantity of clinical documentation that matters—it's the quality. Is your clinical documentation improvement (CDI) program identifying your outliers? Does your documentation capture the level of ICD-10 coding specificity required to achieve optimal reimbursement? Are you clear on how to fix your coding and documentation shortfalls? Providing the most complete and accurate coding of diagnoses and site-specific procedures will vastly improve your practice’s bottom line. Get the help you need with the Clinical Documentation Reference Guide. This start-to-finish CDI primer covers medical necessity, joint/shared visits, incident-to billing, preventative care visits, the global surgical package, complications and comorbidities, and CDI for EMRs. Learn the all-important steps to ensure your records capture what your physicians perform during each encounter. Benefit from methods to effectively communicate CDI concerns and protocols to your providers. Leverage the practical and effective guidance in AAPC’s Clinical Documentation Reference Guide to triumph over your toughest documentation challenges. Prevent documentation deficiencies and keep your claims on track for optimal reimbursement: Understand the legal aspects of documentation Anticipate and avoid documentation trouble spots Keep compliance issues at bay Learn proactive measures to eliminate documentation problems Work the coding mantra—specificity, specificity, specificity Avoid common documentation errors identified by CERT and RACs Know the facts about EMR templates—and the pitfalls of auto-populate features Master documentation in the EMR with guidelines and tips Conquer CDI time-based coding for E/M The Clinical Documentation Reference Guide is approved for use during the CDEO® certification exam.

Coding for Medical Necessity Reference Guide - First Edition

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Publisher : AAPC
ISBN 13 : 1626889805
Total Pages : 17 pages
Book Rating : 4.6/5 (268 download)

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Book Synopsis Coding for Medical Necessity Reference Guide - First Edition by : AAPC

Download or read book Coding for Medical Necessity Reference Guide - First Edition written by AAPC and published by AAPC. This book was released on 2020-03-18 with total page 17 pages. Available in PDF, EPUB and Kindle. Book excerpt: Master coding concepts related to medical necessity and report compliant codes for your services. Revenue loss, rework, payback demands—how much are medical necessity errors costing your practice? And that’s to say nothing of potential civil penalties. Get medical necessity wrong and it’s considered a “knowingly false” act punishable under the FCA. Stay liability-free and get reimbursed for your services with reliable medical necessity know-how. AAPC’s Coding for Medical Necessity Reference Guide provides you with step-by-step tutorials to remedy the range of documentation and coding issues at the crux of medical necessity claim errors. Learn how to integrate best practices within your clinical processes—including spot-checks and self-audits to identify problems. Benefit from real-world reporting examples, Q&A, and expert guidance across specialties to master coding for medical necessity. Learn how to lock in medical necessity and keep your practice safe and profitable: Avoid Medical Necessity Errors with CERT Smarts Rules to Improve Provider Documentation Denials? Pay Attention to Procedure/Diagnosis Linkage Nail Down the Ins and Outs of Time-based Coding Expert Guidance to Fend Off RAC Audits and Denials Beat E/M Coding Confusion with Payer Advice Improve Your ABN Know How with This FAQ

The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition

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Author :
Publisher : Hcpro, a Division of Simplify Compliance
ISBN 13 : 9781615692002
Total Pages : 0 pages
Book Rating : 4.6/5 (92 download)

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Book Synopsis The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition by : Jennifer Avery

Download or read book The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition written by Jennifer Avery and published by Hcpro, a Division of Simplify Compliance. This book was released on 2013-05-07 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition Now in its second edition, The Clinical Documentation Improvement Specialist's Guide to ICD-10 is the only guide to address ICD-10 from the CDI point of view. Written by CDI experts and ICD-10 Boot Camp instructors, it explains the ICD-10 documentation requirements and clinical indicators of commonly reported diagnoses and the codes associated with those conditions. In it you'll find the specific documentation requirements to appropriately code a variety of conditions. The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition, not only outlines the changes coming in October 2014, it provides detailed information on how to assess staffing needs, training requirements, and implementation strategies. The authors--an ICD-10 certified coder and CDI specialist--collaborated to create a comprehensive selection of ICD-10 sample queries that facilities can download and use to jumpstart their ICD-10 documentation improvement efforts. Develop the expertise and comfort level you need to manage this important industry change and help your organization make a smooth transition. The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition, is part of the library of products and services from the Association of Clinical Documentation Improvement Specialists (ACDIS). ACDIS members are CDI professionals who share the latest tested tips, tools, and strategies to implement successful CDI programs and achieve professional growth. Member benefits include a quarterly journal, members-only Web site, quarterly networking conference calls, discounts on conferences, and more. WHAT'S NEW? Completely revised to accommodate changes in ICD-10 implementation dates Dozens of targeted ICD-10 physician queries Updated ICD-10 benchmarking reports BENEFITS Sample ICD-10 queries Specificity requirements and clinical indicators by disease type and body system Staff training and assessment tools TABLE OF CONTENTS Chapter 1: ICD-10 primer Chapter 2: Conventions and Guidelines Chapter 3: Physician queries Chapter 4: CDI target areas Chapter 5: ICD-10-CM/PCS Provider Education

E/M Coding Pocket Guide for Physician Practices

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Publisher : Hcpro, a Division of Blr
ISBN 13 : 9781578398997
Total Pages : 52 pages
Book Rating : 4.3/5 (989 download)

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Book Synopsis E/M Coding Pocket Guide for Physician Practices by : Joe Rivet

Download or read book E/M Coding Pocket Guide for Physician Practices written by Joe Rivet and published by Hcpro, a Division of Blr. This book was released on 2006-09-29 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: Do you want to receive proper reimbursement for new and established patients and consultations? You use E/M codes everyday, but are you selecting the appropriate code for the level of the patient visit? Are you familiar with the guidelines that will help you pick the most appropriate code? If not, you could be missing out on revenue that you earned! That's why HCPro created a detailed, easy-to-use, pocket-sized reference to help you select accurate E/M codes: "E/M Coding Pocket Guide for Physician Practices."Code accurately and avoid OIG audits with one convenient resource. Full of coding criteria and documentation requirements for E/M codes, this pocket guide is small enough to carry with you into the exam room, but thorough enough to help you select the appropriate E/M code immediately after examining a patient, receive proper reimbursement for every evaluation, and avoid scrutiny from the OIG. "The E/M Coding Pocket Guide for Physician Practices" includes E/M documentation requirements for all five levels of new patient, established patient, and consultation visits in the office setting. clarifies differences between the often confusing 1995 and 1997 E/M coding guidelines. explains in detail how to determine the level for each documentation component. splits E/M coding into these two easy-to-follow sections basic requirements for each code detailed explanations of documentation requirements Take a look at the Table of Contents: Introduction Importance of E/M coding 1995 vs. 1997 guidelines How to use this pocket guide Section 1: E/M Code Quick Reference New-patient office visits (codes 99201-99205) Established-patient office visits (codes 99211-99215) Consultation office visits (codes 99241-99245) Section 2: E/M Code Components History Exam Medical decision-making Time-based billing Who should read E/M Coding Pocket Guide for Physician Practices? Managing physician Physician owner Practice administrator Office manager Managing partner Business manager Coders Billers Compliance officers Residency program coordinators Let "E/M Coding Pocket Guide for Physician Practices" be the answer to all your E/M coding questions.