Which of the following is NOT listed as a top E/M coding error?

Get ready for the AAPC Certified Professional Medical Auditor Test. Enhance your skills with multiple choice questions, each designed to provide thorough explanations. Excel in your exam preparation!

The choice indicating that assessment is documented clearly is indeed correct in the context of identifying coding errors in the Evaluation and Management (E/M) services. This option reflects the ideal scenario where documentation meets the required standards for clarity and comprehensiveness, which is crucial for accurate coding and billing.

In the realm of E/M coding, the following errors are commonly noted: upcoding can lead to billing for services not actually provided, missing diagnosis references can result in claims being denied due to inadequate support for the services billed, and illegible documentation complicates the verification and auditing processes, making it difficult to ensure proper reimbursement and compliance.

The emphasis on clarity in the assessment documentation underscores the significance of maintaining high-quality records in healthcare settings, which not only supports billing accuracy but also enhances patient care and provider accountability. Therefore, mentioning clear documentation does not align with the characterization of common coding errors.

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