tci ED Coding & Reimbursement Alert - 2016 Issue 5

You Be the Coder: Attestation Statements Hold the Key to Accurate Billing

Questions: This chart is causing arguments among my coders over what E/M code to report and whether the attestation statements hold up to report all the procedures documented. Can you help? Texas Subscriber Chief Complaint Patient presents with: Cardiac Arrest I was unable to obtain a clear HPI, ROS from the patient or review their PMH, FH, SH due to acuity of condition (patient not responsive). HPI XXX is a 67 y.o. male with a PMH of CAD s/p CABG (10/3/2013), Atrial fib on Coumadin, aortic stenosis, mitral regurgitation s/p MVR (10/5/2013), heart failure, pulmonary HTN, s/p gastric...

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