tci ED Coding & Reimbursement Alert - 2003 Issue 7
Case Study: Are You Making the Most of
Translating coding advice into practice means whipping out the patient encounter forms and mapping theory onto real patient scenarios that cumulatively cost you valuable dollars. The following patient history and physical examination report is fully dissected, showing you where the E/M points and money are in your physician's documentation. The report comes from James Blakeman, senior vice president of Healthcare Business Resources in Bala Cynwyd, Pa. In the physician's notes, Blakeman inserts flags that help break down the E/M components. At the beginning of the example is a key for understanding the bracketed labels that are not self-evident...
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