tci Part B Insider - 2008 Issue 26

READER QUESTION: Achieve the Correct HPI Level Every Time

Differentiate location from context and you-ll be in the clearQuestion: An internal chart audit of our E/M claims shows that our history of present illness (HPI) levels lessened the rightful service level of some claims. How can we get the most accurate HPI level? Answer: Getting a full picture of a patient's medical history is a difficult challenge, but it's one you can meet. The following elements go toward determining HPI:- Location is the place on the patient's body where the symptoms exist (-the lower right quadrant,- for instance) or the particular organ from whence the symptoms arise...

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