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Thread: H&P???

  1. #1

    Default H&P???

    AAPC: Back to School
    is it acceptable to use the H&P to bill for your E/M? ie... pt comes to ER is found to have appendicitis, resident does and H&P, can I use the H&P to bill a 99222 -57?

  2. #2


    Pt is seen in the ED by who the EDP or his/her PCP? Who are you coding for the EDP or the PCP?

  3. #3

    Default Redident Only?

    If all you have is resident documentation with no physician documentation, you can't code based on resident documentation only.

  4. #4


    We are called to the ER (we are a surgical practice) we make the decision to operate. There is many differences of opinions in this office and people are starting to confuse me so wanted get the facts from those who do this everyday...

  5. #5
    Join Date
    Apr 2007
    Milwaukee WI

    Default Too many variables

    There are too many unanswered variables in your question to give you a definitive answer.

    You mention resident documentation ... is this a surgical resident or an ER resident or a medicine resident?

    For whom are you billing? The surgeon? the ED doctor?

    Who is the payer ... Government payers (Medicare, Medicaid) require that the teaching physician document and attest to his/her own personal attendance to the patient (i.e. face-to-face), participation in exam, assessment and medical decision making, and agreement with any resident-documented service (OR - for the TP to document his/her own service). Commercial payers define "supervision" as by any means of communication and do not necessarily require the personal attendance of the teaching physician.

    Hope that helps you define the issues.

    F Tessa Bartels, CPC, CEMC

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