decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Consults, Visits, Referrals / History and Physicals
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Article Overview
This short article explains that history and physical services must be medically necessary and that normal findings can affect payment. It is relevant to coders, billers, and compliance staff working with consults, visits, referrals, and H&P documentation.
Why This Topic Matters
It helps billing and coding teams understand a basic reimbursement concern tied to history and physical services and associated documentation.
What You Will Learn
- The general documentation and reimbursement considerations associated with history and physical services.
- Why medical necessity matters for this type of encounter.
- How payment outcomes can be affected by the documented findings.
- The article’s relevance to consult, visit, and referral-related coding workflows.
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Revenue cycle teams
- Physician practice staff
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