Chart Check — Hospital E/M Documentation Review

01 Encounter type

Initial hospital care 99221–99223 Subsequent hospital care 99231–99233 Same-day admit & discharge 99234–99236 Discharge day management 99238–99239 Critical care 99291–99292

02 Documentation to review

⚠ No PHI. Remove patient name, MRN, DOB, and dates of service before pasting note text.

0 characters Minimum 30 characters

03 Time & payer context

Total documented minutes

Payer context

Code you intended to bill

04 MDM element overrides

Leave on Auto to let the note's language decide. Override only if you've confirmed the level yourself.

Problems addressed

Data reviewed

Risk of complications