Emergency Room Medical Decision-Making (MDM): Driving E&M Codes

From ICD10Monitor:

Throughout the country, physicians have been taught to make sure that they capture all of the elements of history of present illness (HPI), review of systems (ROS), past family and social history (PFSH), and physical exam (PE). However, either they have not been taught or have failed to show that the driver of evaluation and management codes (E&M) is MDM. Let me try to provide an example.

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