tci E/M Coding Alert - 2013 Issue 4

Key Elements: Don't Let 1 Missing PMFSH Point Cost Your Practice $70 Per Encounter

Your provider’s notes about reviewing previously captured history are crucial. One missing piece of missing past medical, family, and social history (PMFSH) could limit your coding on some encounters to level three instead of level four or five E/M codes. Accurately counting the number of PMFSH items could result in more money for an encounter, because the top-level E/M codes require PMFSH elements. Lean these three quick tips to ensure your provider is capturing, and you’re recognizing, every history component the patient mentions. Determine the Level of PMFSH For coding purposes, the history portion of an E/M...

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