Results 1 to 5 of 5

Soap notes?

  1. Default Soap notes?
    Exam Training Packages
    Hi All,
    How to determine the LEVEL OF SERVICE using the SOAP NOTES in which the elements are so limited and are straightforward but the Providers are coding it as 99205 and 99215 for Pain Management?

    Pls.HELP and thanks.

  2. #2
    Kansas City, MO
    Same way you would determine on any other have to pick out the HPI, ROS, PFSH, EXAM, and figure the MDM. If the elements are truly limited and straightforward, it may not be a level 5. Hard to know for sure without seeing a note!

    They be dealing with complex pain-management issues, but it the documentation is not there, there is nothing you can do.

    ( I HATE SOAP notes!!)
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC,CCC
    PMCC Licensed Instructor
    Kansas City, MO Chapter
    President, 2018
    Vice President, 2017
    Member Development Officer 2016
    Harrisonville, MO Chapter President - 2013
    ICD-10 Education Coordinator- 2012
    Chapter President - 2011
    President Elect - 2010

  3. #3
    Same here. I HATE SOAP NOTES TOO.
    Girish Dadhich, CPC

  4. #4
    Soap notes: Subjective (HPI, ROS, PFSH), Objective (Exam), Assessment and Plan (MDM)

    Limited and straightforward are usually not terms associated with level 5 E/Ms. Do you have documentation to support coding the visits based on time?

  5. Default
    Thanks a lot for all the INPUTS now I know I'm doing it right...

Similar Threads

  1. Soap Notes
    By tmr1965 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-27-2015, 07:17 AM
  2. SOAP Notes?
    By Scottkuntz1 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 12-15-2014, 11:26 AM
  3. Soap notes
    By cyrucats in forum Medicare Regulations
    Replies: 2
    Last Post: 03-03-2011, 12:37 PM
  4. soap notes help
    By perkins05 in forum E/M
    Replies: 1
    Last Post: 01-07-2011, 03:59 PM
  5. Soap notes
    By perkins05 in forum E/M
    Replies: 1
    Last Post: 12-30-2010, 03:42 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?


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.