In Coding
Sep 15th, 2015
by John Verhovshek, MA, CPC Documentation stating “Family History Reviewed” is insufficient to satisfy evaluation and management (E/M) documentation requirements. Both the 1995 and 1997 documentation guidelines specify, “A ROS and/or a PFSH obtained during an earlier encounter does not need to be re-recorded if there is evidence that the physician reviewed and updated the ...
A focused effort on negotiating payer contracts can create much-needed money for any practice, and coders are uniquely qualified to facilitate these negotiations. This month, I’ll provide an overview of the contract negotiation process. In future months, we’ll discuss each step in greater detail to help you level the playing field with insurance companies. Ask ...
Apr 1st, 2010
By Beverly Welshans, CPC, CPC-I, CPC-H, CCS-P The same care your providers take when administering preventive care to assure all has been covered must be taken when coding those services, as well. It never hurts to follow four simple rules that prevent denials on your preventive care claims. Rule 1: Diagnosis Must Match Reason for ...