Question
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
What is the definition of an interval history? How much documentation supports an interval history? ...
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Article Overview
This article explains what an interval history is and how the amount of documentation needed depends on the level of evaluation and management service being provided. It is aimed at coding and documentation professionals who need a general understanding of how interval history fits into E/M service requirements and related supporting documentation.
Why This Topic Matters
Understanding interval history helps coders and auditors assess whether documentation supports the reported level of evaluation and management service.
What You Will Learn
- How interval history is defined in relation to the time since the last patient assessment
- How documentation expectations vary by evaluation and management service level
- How interval history relates to subsequent inpatient care documentation
- What broad elements are included in an expanded, problem-focused interval history
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Physician billing staff
Codes Discussed
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