tci Medicare Compliance & Reimbursement - 2008 Issue 24

Revenue Booster: Nail Down Acronyms To Code Charts Properly Every Time

Would you be able to count E/M bullets properly if the physician wrote 'WBC/WNL'? If you can't differentiate such terms as PH and PI, your coding may suffer.Here's why: When the physician documents a chart, he doesn't always have time to spell out phrases such as "past history" (PH) and "present illness" (PI), but knowing which is which can make a tremendous difference in the accuracy of your charts. If you code a chart assuming that the patient currently suffers from every condition listed as "PH," you'll be coding the wrong diagnoses for the current illness. Because...

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