NESmith
Guest
I just submitted a question on this issue and I Thank You for helping me, but now my doctor is stating her HPI can come from her CC. Once again I disagree. Please help. As you can tell I am having a issue. Thanks
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki HPI Again
- Thread starter NESmith
- Start date
RebeccaWoodward*
True Blue
The levels of E/M services are based on four types of history (Problem Focused, Expanded Problem Focused, Detailed, and Comprehensive). Each type of history includes some or all of the following elements:
• Chief complaint (CC);
• History of present illness (HPI);
• Review of systems (ROS); and
• Past, family and/or social history (PFSH).
The CC, ROS and PFSH may be listed as separate elements of history, or they may be included in the description of the history of the present illness.
http://www.cms.hhs.gov/MLNEdwebGuide/25_EMDOC.asp
• Chief complaint (CC);
• History of present illness (HPI);
• Review of systems (ROS); and
• Past, family and/or social history (PFSH).
The CC, ROS and PFSH may be listed as separate elements of history, or they may be included in the description of the history of the present illness.
http://www.cms.hhs.gov/MLNEdwebGuide/25_EMDOC.asp
FTessaBartels
Guest
Please see previous post
Please see my response on your previous post. As well as Rebecca's (as always) very helpful explanation above.
Physicians are not required to neatly label each element of their documentation (though it sure helps when they do!).
But the coder cannot double dip - counting the same verbiage for two different things.
Hope that was helpful.
F Tessa Bartels, CPC, CEMC
Please see my response on your previous post. As well as Rebecca's (as always) very helpful explanation above.
Physicians are not required to neatly label each element of their documentation (though it sure helps when they do!).
But the coder cannot double dip - counting the same verbiage for two different things.
Hope that was helpful.
F Tessa Bartels, CPC, CEMC
NESmith
Guest
Thanks to both of you