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When Assigning E/M Codes, What Four Elements Must You Know

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Short Answer

When assigning E/M codes, what four elements must you know or have documented in order to assign the most accurate code level in addition to history, exam, and medical decision-making?


Definitions:

Halo Effect

The tendency to form an overall positive impression of a person based on one positive characteristic.

Predicts Future Behavior

The act of using current and past information to make informed guesses about future actions or trends.

Trait

A characteristic or quality of an organism, which can be physical or behavioral, genetically determined or acquired.

Guilt

A cognitive or emotional experience that occurs when a person believes or realizes—accurately or not—that they have compromised their own standards of conduct or have violated a moral standard and bear significant responsibility for that violation.

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