tci Part B Insider - 2013 Issue 1

Part B Revenue Booster: Get in the Habit of Taking A History That Won't Repeat Itself

These 5 tips will lead the way to taking the perfect history in your documentation. The task seems simple: The practitioner has to obtain all of the details of where the patient’s illness came from and what the patient is experiencing. This may be simple from a coding standpoint, but if your physician doesn’t document the necessary elements for you to compile a useful history, your claim could be downcoded, or even uncodeable. Luckily, you can show your physicians how to obtain the perfect history, with the following five tips. 1. Remember the difference between the history...

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