tci Part B Insider - 2019 Issue 2

E/M Coding: Quell E/M History Quandaries with PFSH Basics

Tip: Review Medicare guidance for in-depth knowledge. Clear and concise documentation of a patient’s past medical, family, and social history (PFSH) is critical to determine E/M levels. Lackluster notes, however, sometimes leave coders wondering which code to choose and what the provider actually means. That’s why it’s vital that you know the documentation nuances because without a tight grip on the intricacies of PFSH, you risk miscoding your provider’s E/M services. Help’s here: Follow these three tips and make PFSH decisions with confidence and clarity. Tip 1: Know What Information is Needed First, here&rsquo...

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