tci ED Coding & Reimbursement Alert - 2022 Issue Q1

E/M Coding: Perfect Your ED E/M Coding Skills With 3 Quick FAQs

Hint: Avoid writing “HPI negative” in your documentation. Choosing the correct E/M level in the ED can be challenging due to the addition of diagnostic tests, HPI elements, and radiologic reviews in the physician’s documentation. If you have trouble deciding how much credit to give these services, check out the answers to three common ED E/M questions. FAQ 1: Test Ordered, Not Performed Question: Suppose a physician orders a diagnostic test, such as an electrocardiogram (EKG), but the patient refuses to undergo the test. Should the physician still get credit for the order when determining the complexity...

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