tci ED Coding & Reimbursement Alert - 2017 Issue 10

Reader Question: Even in the ED, PFSH Matters

Question: Our doctors are great about documentation, except in one area. They rarely include any information in the past, family and social history (PFSH). This becomes a real problem when it's the only thing standing between a lower code and a higher one. What's the solution? Supercoder.com Subscriber Answer: The only solution to this situation is communication. You must explain to your physicians in your ED that the PFSH is one of the determinants of a history level, which can ultimately impact the level of E/M service that you report. It's very hard to calculate an accurate history...

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