tci E/M Coding Alert - 2016 Issue 3

Case Study: Get Elemental to Gain Knowledge on HPI Levels

Remember, Medicare, and CPT® differ on duration element. Each coder in the office needs to know the difference between brief and extended history of present illness (HPI) levels. If they don’t, they can’t be expected to choose the correct E/M level for each office E/M visit they code. Fallout: Get HPI too high, and you’ll be overcoding and exposing your practice to auditors. Get HPI too low, and you’ll be undercoding your E/M services, which will cost the practice money. Help’s here: Use these two case studies to illustrate brief and extended HPIs, and...

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