tci ED Coding & Reimbursement Alert - 2009 Issue 9

Spy Single PFSH Item to Aid High-Level ED Coding

Risk missing an element if you don't look hard for social history items. Payers reward practices that record robust personal,family, and social history (PFSH) when the provider addresses them out of medical necessity. Bottom line: Accurately counting the number of PFSH items could result in an extra $50 or more for the encounter, as the top-level ED E/Ms require PFSH elements. Check out these quick tips on fishing PFSH items out of encounter notes. ED Setting Results in Frequent PFSH PFSH recording is not always a required part of the history portion of an ED E/M service (99281-99285)...

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