BC Advantage - 2017 Issue 10
PFSH Documentation: Q and A
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Article Overview
This article is a question-and-answer style educational piece for auditors and coders that focuses on documentation of personal, family, and social history in evaluation and management services. It explains the general scope of the guidance, why the topic matters in auditing, and how NAMAS supports members through its forum and Ask an Auditor features. The content is most relevant to professionals involved in E/M documentation review, compliance, and auditing education.
Why This Topic Matters
Accurate understanding of history documentation affects E/M auditing and compliance review, especially when documentation is being evaluated for completeness and relevance in different care settings. The article is aimed at helping auditors and coding professionals interpret documentation guidance consistently.
Article Sections
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Question
Presents an auditing question about personal, family, and social history documentation in an emergency department E/M context.
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Answer
Summarizes the educational response and references general documentation guidance related to history review in E/M services.
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NAMAS support resources
Describes member resources for asking questions, participating in a forum, and obtaining auditing-related input.
What You Will Learn
- How the article frames personal, family, and social history documentation in E/M auditing
- What kinds of documentation guidance are discussed at a high level
- Which NAMAS member support options are mentioned for auditing questions
- Why documentation interpretation can be a recurring topic in compliance review
Who Should Read This
- Medical auditors
- Coding professionals
- Compliance staff
- E/M documentation reviewers
- NAMAS members
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