tci E/M Coding Alert - 2014 Issue 12

Reader Question: 30-Day TCM is the Key to E/M

Question: An 84-year-old female patient of ours who experienced congestive heart failure was released from the hospital after one week. The hospital service included a nurse care manager speaking with the patient’s family by phone the day after discharge to review medications and CHF self-management, and to make the follow-up appointment. The original billing physician reviewed the discharge summary and talked to consultants who treated the patient in the hospital. Four days later, the patient presented for a face-to-face visit that included prescription drug management, recommendations for diagnostic tests, and a home-health referral. The billing physician and clinical...

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