tci ED Coding & Reimbursement Alert - 2006 Issue 1

Milk HPI Info for More Than 1 E/M Category

Here's how to make economic choices with E/M documentation Elements from the physician's review of systems (ROS) and history of present illness (HPI) documentation can work harder than many coders make them. Here's how to ensure you-re not wasting valuable time querying the physician--or losing reimbursement through downcoding--by using the available information wisely. Section Categories Aren't Holy While some coders adhere religiously to drawing ROS elements from the ROS section in the chart and HPI elements from the HPI section, there's no prohibition against mixing and matching. In fact, when you-re short on information from one section, it may...

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