This second edition (it's been three years since the first publication) directly addresses the requirements for compliant documentation and coding by providing usable and efficient tools to integrate both areas into the patient care process.
The book is divided into 5 parts - E/M Excellence and Quality Health Care, Practical E/M Approach to Patient Care, Other Types of E/M Services, Quality in the Evolving Health Care System and Designing and Using an Intelligent Medical Record (IMR). In addition to the various subsections under each part there is a CD-rom that has four sections of sample forms (e.g. IMR forms for common types of E/M services) that can be used in your own practice.
The author has also added information based upon his own experience in developing electronic health record solutions for medical practices and training in E/M principles.
The book is designed as a comprehensive reference to the principles of Practical E/M. It also describes the compliance and efficiency concepts intrinsic to IMR design and the protocols for using the IMR properly during patient care.
This book provides a lot of information in an easy-to-find format and provides tools to assist every reader in the many areas it covers.