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Quality Audit Tool
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E&M Coder Professional Edition


E&M Coder provides an easy-to-use and comprehensive reporting package, including a variety of audit and patient information reports. Individual reports are selected from the Report Manager with flexible parameters, and may be conveniently previewed on screen or sent to a printer.


Chart Review of E/M CPT Usage:

The Chart Review of E/M CPT Usage report compares the code used (Practice CPT), the appropriate code (Documented CPT) and the potential (Optimal CPT) code which is based on the Medical Decision Level. The Optimal CPT is an indicator that the documentation of patient care is insufficient to the patient's needs. This report is printed for each physician and with all physicians summarized on one report. The Chart Review also compares the respective fees for each of the three categories. The report lists what the Practice Charged, what the Chart Documented, what E/M CPT would have qualified based on the Medical Decision. CPT, fee and percentages will be itemized and tallied.


The Chart Review of E/M CPT Usage may now be requested in HIPAA Compliant format, providing the same patient data without printing specific patient names and identification numbers.
If Teaching Physician Guidelines are activated, the Documented CPT field will display "NoTPG" in the case of incomplete guideline compliance.

HIPAA Compliant Version:

Chart Review of E/M CPT Usage-HIPAA Compliant

Standard Version:

Chart Review of E/M CPT Usage


CPT is a registered trademark of the American Medical Association
Our sample reports are based on live data, all names have been changed to protect patient/doctor privacy.
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