The key components that determine an evaluation and management code are documented by
A) the medical assistant.
B) the physician.
C) the insurance billing specialist.
D) none of the above.

Question

Quizplus · Accepted Answer

The key components that determine an evaluation and management code, including the patient's history, exam, and medical decision making, must be documented by the physician or another qualified healthcare provider. Medical assistants and insurance billing specialists may assist with documenting certain information, but they cannot determine the final code without the input of the physician or provider who performed the service.

The Key Components That Determine an Evaluation and Management Code