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Hpi

  1. Question Hpi
    Medical Coding Books
    Does anyone know where you can find information in writting on who is allowed to complete the HPI part in the EMR? Physician, MA or either?

  2. #2
    Location
    Phoenix, AZ
    Posts
    620
    Default
    Look in the 1995 or 1997 documentation guidelines. They are very specific. Trailblazer has some wonderful information as well on E/M documentation guidelines.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  3. #3
    Location
    Northeast Kansas (NEKAAPC)
    Posts
    692
    Default
    It is stated very clearly on WPS (don't know what state you are in) and I also believe on CMS that the physician must obtain the HPI. Only the ROS and PFSH can be recorded by an ancillary staff member.
    Brenda Edwards, CPC, CDEO, CPB, CPMA, CPC-I, CEMC, CRC
    AAPC Fellow
    AAPC ICD-10-CM/PCS Training Expert


    Kindness is contagious-PASS IT ON!

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