tci E/M Coding Alert - 2016 Issue 11

Clip and Save: Use This Template to Get HPI Info

Asking pointed questions will help you sort through HPI. During the history of present illness (HPI) portion of an E/M service, the first order of business is ascertaining the patient’s chief complaint (CC). From there, you ask about each of the HPI components individually to get a fuller picture of the patient’s condition. Problem: It might be pretty easy to get a CC from the patient, but how do you continue with the HPI questions after you establish the CC? Solution: For answers, we turned to Cynthia A. Swanson, RN, CPC, CEMC, CHC, CPMA, senior manager of...

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