tci ED Coding & Reimbursement Alert - 2012 Issue 8

Documentation Guidelines: Brush Up on Your HPI Know How and Stay Out of Audit Crosshairs With This Primer

Get the story straight on this often misunderstood but very important E/M component.If History of Present Illness (HPI) was the first component of E/M coding you learned, you could be overdue a refresher. Often, it's HPI that trips up ED coders in audits and is the one of the biggest reason for down-coded claims. Read on for a return to fundamentals for capturing the HPI.Get specific: We know from the 1995 CMS documentation guidelines that the HPI is a chronological description of the development of the patient's present illness from the first sign or symptom to the...

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