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Coding and Documentation General Guidelines and Resources

CMS Fraud, Abuse, and other Guidance

CMS Fraud & Abuse Fact Sheet

False Act and Whistleblowing Protection Claim

Evaluation & Management (E/M) Coding Guidelines

1997 Documentation Guidelines

1995 Documentation Guidelines

AMA Coding and Documentation Reference Guide (E/M MDM Audit Tool)

2010 Consultation Ruling

E&M Services Guidelines

Telehealth Services

Outpatient E&M and Prolonged Services

Teaching Physician Guidelines

Guidelines for Teaching Physicians, Interns, & Residents

Additional Coding & Documentation Resources...

Medicare Signature Requirements

ABN's for Non-Covered Services

Amendments, Corrections, and Delayed Entries in Medical Documentation

ICD-10 Facts

Quick Reference

Myths & Facts

Basic Crosswalks

Helpful Websites

For Coding Certification:

For Additional CMS Guidance

  • Centers of Medicare and Medicaid Services (CMS) 

For Local Carrier Guidance