Say Goodbye to Underpaid E/M Claims

Why This Topic Matters

Accurate ED documentation helps support the level of service reported and can reduce underpayment tied to incomplete history elements. The article is relevant for teams looking to align physician charting with E/M requirements and payer expectations.

Article Sections

1. HPI: Know What You're Looking For

   Explains the history of present illness as a documentation focus for ED E/M coding and reviews the main elements coders look for in physician notes.

2. ROS: Help Your Physicians

   Covers the review of systems portion of ED documentation and describes its general relationship to payer and Medicare history requirements.

3. PFSH: What Does and Doesn't Count

   Discusses past, family, and social history documentation in the ED and the broader issue of what may be considered relevant to the current encounter.