tci ED Coding & Reimbursement Alert - 2011 Issue 7

E/M Coding: Code Correctly by Heeding HPI Rules on High-Level E/Ms

Prove extended HPI or settle for 99281, through 99283.If you don't recognize the difference between brief and extended history of present illness (HPI), you could be costing your EDs hundreds in miscoded E/ M services, as the HPI level often determines the proper ED E/M code choice. Coders could also overcode HPI level without the proper knowledge, leading to potential audits and rejected claims. Check out this HPI FAQ for some expert input on choosing HPI levels.What is HPI?In basic terms, HPI is a "timeline" of the patient's condition -- from the start of the condition/injury...

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