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September 7, 2025

Assignment 1: Evaluation and Management (E/M) Case Analysis

Assignment 1: Evaluation and Management (E/M) Case Analysis
Review the patient case scenario and assign:

DSM-5-TR diagnoses

ICD-10 codes

Reimbursement (billing) code

In a 2–3 page narrative, address:

Justification for the billing code used

Required documentation to support codes

Missing documentation (identify at least 12 components)

Legal/ethical issues with overbilling, upcoding, and fraud

2 strategies to promote ethical billing in practice

Tips to improve documentation for maximum reimbursement

✅ Submit as one document with your answers added to the case scenario

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