Results 1 to 5 of 5

E/M documentation

  1. Default E/M documentation
    Medical Coding Books
    Refreshen my memory please. The doctor dictates the CC, HPI, and MDM. The PA dictates the ROS and PFSH. Who dictates the exam when billing incident to? Can the PA dictate the exam and the doctor sign off?
    Thanks
    Mary

  2. #2
    Default
    The doctor dictates the CC, HPI, and MDM. The PA dictates the ROS and PFSH. Who dictates the exam when billing incident to? Can the PA dictate the exam and the doctor sign off?
    Thanks
    Mary

    Mary,
    A counter signature is not sufficient to show that incident-to requirements are met.

    Here is a great incident-to article that explains the documentation requirements:

    http://www.lamedicare.com/provider/v...articleid=5130
    Belinda S. Frisch, CPC, CEMC
    Author of "Correct Coding for Medicare, Compliance, and Reimbursement"

  3. #3
    Location
    Stuart Sailfish Chapter
    Posts
    867
    Default
    Belinda:

    What a great reference tool. thank you
    Candice Fenildo, CPC, CPMA, CPC-I, CPB, CENTC, CRHC, AAPC Fellow
    Director of Operations
    Ear, Nose and Throat Associates of South Florida, PA
    772-342-6976
    cfenildo@entsf.com


    "Nothing is stronger than the heart of a volunteer"

  4. #4
    Location
    Greeley, Colorado
    Posts
    2,045
    Smile Thank you!
    Belinda - thanks for the link...it is something I have been looking for!

  5. Default
    Thank you for the link it is a great tool
    Mary

Similar Threads

  1. Documentation
    By tmr1965 in forum Ophthalmology/Optometry
    Replies: 2
    Last Post: 03-02-2014, 04:06 PM
  2. Documentation on correct documentation placement of procedure notes in the EMR
    By ashephard in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 02-25-2014, 04:36 PM
  3. RX documentation
    By paynecoder1 in forum Auditing General Discussion
    Replies: 0
    Last Post: 10-23-2012, 07:05 AM
  4. Documentation?????
    By JSHAFER in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-21-2010, 08:20 AM
  5. Documentation
    By slindamood in forum E/M
    Replies: 4
    Last Post: 08-31-2010, 05:11 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.