Effective January 1, 2023, this information is no longer up-to-date. The material on this page covers only the 1995 and 1997 E/M guidelines and is no longer accurate. A new set of E/M guidelines was released in 2021, with some minor modifcations added for 2023. These new guidelines are now used to document all encounters in both the outpatient and inpatient settings. For the most recent E/M coding guidance, visit our home page here.
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6/22/11: A Hospital Progress Note in 94 Words
6/8/2011:A Very Concise 99214
5/26/2011: An H&P in 194 Words
4/19/2011: An Established Office Visit in 29 Words
4/12/2011: H&P Redux
3/31/11: Established Office Visit
3/17/2011: Catastrophic Key Component Failure
2/02/2011: An Outpatient Consult
1/27/11: A Very Brief Note
1/12/11: Hospital Progress Note for a Patient with Severe Shortness of Breath
1/6/11: The Shortest Level 5 Ever?
12/9/10: A Neuro "Consult"
11/17/10: Don't Do This...
11/03/10: 30 E/M Questions You Should Ask Your Medicare Carrier
10/26/10: Video Case: Three Common Mistakes
9/29/10: Video Case: Bad HTN
9/8/10: Video Case: The 1-Minute Progress Note
9/1/10: Video Case: 99215?
8/24/10: Video Case: Admission H&P for Severe HTN
8/18/10: Video Case: A Hospital Progress Note for ARF
8/11/10: Video Case: The Perils of a Poorly Documented Physical Exam
7/28/10: Video Case: A Patient in the ICU
7/22/10: Video Case: "Anxious about Avandia"
7/14/10: Video Case: Hospital Progress Note for a Patient with CHF
6/17/10: Video Case: Established Office Patient with Three Stable Problems
6/10/10: Video Case: SOAP Notes Don't Work
5/26/10: Video Case: Admission H&P
5/18/24: Video Case of the Week for a Hospital Progress Note
5/4/10: Video Case of the Week for an Established Office Patient
4/21/10: Use Templates to Decrease Transcription Costs
4/14/10: Can You Spot the $93 Mistake?
4/7/10: Frightening Observations
3/24/10: A "Bullet-Proof" Exam?
3/16/10: The Most Popular E/M Code on the Planet
3/10/10: Rate this Exam
3/2/10: A Quick Hospital Progress Note
02/24/10: Severe Proteinuria
02/1610: A "Consult" in the ER...
2/10/10: Some Docs Have to Work Harder...
2/3/10: Don't Over-Document your H&Ps
1/27/10: 99215: What it Takes
1/20/10: Worsening CHF in the hospital
1/12/10: New England Docs Take a Hit
1/5/10: Consults Bite the Dust
12/16/09: The Last Office Consult
12/02/09: Critical?
11/24/09: A Self-Auditing Template
11/18/09: Patient is Asleep
11/11/09: The 3 Minute Physical Exam
11/3/09: A Solid Block of Text
10/27/09 An Unresponsive Patient
10/20/09: CHF Exacerbation
10/13/09: Patient Not in Room
10/6/09: Again with the HTN?
9/29/09: Pre-Op Consult
9/15/09: A Consult for HTN
9/9/09: The Art of Signing Off
8/31/09: Admission H&P for Shortness of Breath
8/25/09: Stable HTN
8/18/09: Shortness of breath in the office
7/28/09: Worsening pancreatitis in the hospital
7/21/09: Blood Pressure is Not Controlled
7/14/09: A Stable Dialysis Patient
7/7/14: A Bad Sunburn
6/30/09: Established Office Patient with Worsening HTN
6/23/09: A "Routine" Hospital Progress Note
6/16/19: Is Over-Documentation Fraud?
6/9/09: Severe HTN in the Hospital
6/2/09: Is this a Valid Consult?
5/26/09: A Streamlined Admission H&P
5/19/09: An Office Visit in 10 Words or Less
5/12/09: Worsening Pulmonary Infiltrates
5/5/09: Why SOAP Notes Are Useless
4/28/09: The Shortest Progress Note Ever
4/21/09: An Office Visit for a CKD patient with HTN
4/14/09: An Outpatient Ortho Consult
4/7/09: Cardiology Hospital Progress Note
3/31/09: Back Pain in the Office
3/24/09: Outpatient Consult for Proteinuria
3/17/09: Stable HTN in the Hospital
3/10/09: An Intoxicated College Student
3/3/09: A Kid with an Earache in the Office
2/24/09: Did this Doctor Undercode for his H&P?
2/17/09: An Established Office Patient with Poorly Controlled HTN
2/10/09: An Exam from Across the Room
2/3/09: Progress Note for a Patient with New AFIB
1/27/09: Inpatient Consult for ARF
1/20/09: Resolving Hyperkalemia (Progress Note)
1/13/09: An Established Office Patient with HTN
1/6/09: Hyponatremia in the Hospital (Progress Note)
12/16/08: A Patient with Fever in the ER
12/09/08: More HPI Nuggets
12/02/08: EPF vs. Detailed Exam
11/26/08: Talking Turkey about the HPI
11/18/08: Prolonged Inpatient Services
11/11/08: Established Office Patient (99213)
11/4/08: Hospital Progress Note (99233)
10/28/08: Established Office Visit (99215)
10/21/08: New Office Patient; Can We Use a Questionnaire?
10/14/08: "Found Down"
10/7/08: Outpatient Urology Consult (99245?)
9/30/08: Established Office Patient (99215)
9/24/08: Hospital Progress Note (99233)
9/17/08: Hospital Consult for an Observation Patient
9/10/08: "Awaiting Placement.."
9/3/08: Critical Care, etc...
8/27/80: The Perils of Using the SOAP Note Format: What Could Have Been..(99231)
8/20/08: On Office Patient Asks about Her Cholesterol Medication (99213)
8/13/08: An ICU Patient with Respiratory Failure (99233)
7/23/08: A New Office Patient (99204)
7/16/08: An Established Office Patient (99214)
7/9/08: An Established Office Patient (99213)
7/2/08: A Hospital Consult (99253)
6/25/08: An Admission H&P (99223)
6/18/08: An Established Office Patient (99214)
6/10/08: A Hospital Progress Note (99232)
6/3/08: An Established Office Patient (99215)
Submit a case by clicking HERE.
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