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Oncology & Hematology Coding Alert

E/M:

8 Questions Help Bulletproof Your HPI Calculations

Published on Fri Jun 10, 2011

Get your oncologist to collect the information you need with this handy list.Mastering history of present illness (HPI) for your oncologist's E/M services was the focus of "HPI Know-How Helps You Catch Level 4 and 5 E/M Opportunities" (see Oncology & Hematology Coding Alert, vol. 13, no. 6). Now, take that knowledge a step further with the checklist below. It will help you determine the HPI level a service meets.When counting elements of HPI, check to see how many of these eight questions your oncologist answers in the notes:What is the location of the problem? (location of pain, mass, or organ involved)What is the quality of the problem? (nature of the pain, such as dull, sharp, or colicky)How intense is the pain or problem? (severity)How long has the patient had the problem? (duration)*Is the problem better or worse at any time of the day? (timing)What is the setting or circumstances [...]
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