tci ED Coding & Reimbursement Alert - 2006 Issue 8

Reader Questions: Get Elemental When Determining HPI

Question: An internal chart audit of our evaluation and management claims showed that our history of present illness (HPI) levels lessened the rightful service level of some claims. Would you offer tips on getting the most accurate HPI level possible for each E/M?North Dakota Subscriber Answer: Getting a full picture of a patient's medical history is a difficult challenge, but one you can meet. Check out this review of the elements that go toward determining HPI: Location is the place on the patient's body where the injury or trauma occurred (e.g., -on the left forearm-). Context...

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