mlemon
Networker
I have just recently began coding the E/M visits for our practice. The lady who did this position before me was NOT a certified coder. **Let me say...for those who are not certified...I am in no way saying that someone who is not certified does not know how to correctly code** With that being said....coding in the practice had just been handed down through the years person to person, with no good training involved. I also just recently found out that the phyisicans were given a "cheat sheet" on coding in order to get a high level visit coded. I am going through this "cheat sheet" and also doing an audit of E/M services being dictated.
I would like everyone's opinion on a couple of key sentences that are being used by a good bit of our physicians. I would like all feedback...whether you agree with what is being done or not.
Here it goes:
{Her past history, social history, and family history have not changed within the last 2 months.}
Who considers this adequate requirements for a complete PFSH?
{The ten-point system review is negative}
Who considers this a complete ten-system review?
These two sentences are used a good bit for the history portion of the dictation. I would just like some feedback on this issue......
Thanks in advance!
I would like everyone's opinion on a couple of key sentences that are being used by a good bit of our physicians. I would like all feedback...whether you agree with what is being done or not.
Here it goes:
{Her past history, social history, and family history have not changed within the last 2 months.}
Who considers this adequate requirements for a complete PFSH?
{The ten-point system review is negative}
Who considers this a complete ten-system review?
These two sentences are used a good bit for the history portion of the dictation. I would just like some feedback on this issue......
Thanks in advance!