tci Medicare Compliance & Reimbursement - 2011 Issue 10

Part B Coding Coach: Stop Forfeiting Level Four and Five E/Ms With 3 PMFSH Tips

Make your physician's job easier by letting the patient or nurse document the history. If your physician glosses over a patient's past medical, family, and social history (PMFSH), you may be losing up to $69 per E/M. Accurately counting the number of PMFSH items could result in more money for an encounter, because the top-level E/M codes require PMFSH elements. Learn these three quick tips to ensure your physician is capturing, and you're recognizing, every history component the patient mentions. Determine the Level of PMFSH For coding purposes, the history portion of an E/M service requires all three elements ...

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