tci E/M Coding Alert - 2019 Issue 1

Guidelines: Take These PFSH Tips, and Documentation Errors Will Be History

And know the 2019 Final Rule extends PFSH rules to CC, HPI You know that documenting a patient’s past medical, family, and social history (PFSH) is a key component in determining E/M levels. But what do you know about the what and why of this key piece of documentation? If you have trouble answering the question, have no fear. Follow these four tips and make errors in your history reporting a thing of the past. Tip 1: Know What Information is Needed First, here’s a quick PFSH refresher. When we talk about history in a coding sense...

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