Health Information Management

Pay per view: Outpatient documentation improvement

APCs Insider, June 20, 2008

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Take a team approach to success

Editor’s note: In the June Briefings on APCs, “Tune your E/M documentation to meet guidelines,” sources discussed the OPPS final rule’s 11 guidelines and problem areas in E/M coding. The article was based on the March 18 HCPro, Inc., audioconference, “Facility E/M Update: Meet CMS’ Latest Coding and Documentation Requirements.” The following article, based on the same audioconference, discusses additional ways to improve E/M effectiveness.

Sheila R. Gunn, CPC, CCS-P, PCS, CMBS-I, president of Medical Coding Consulting in Midlothian, VA, discussed two challenges during the March 18, HCPro audioconference, “Facility E/M Update: Meet CMS’ Latest Coding and Documentation Requirements.” First, she presented ways to build a documentation improvement team, widening the circle of responsibility for E/M documentation improvement. She also discussed how to use modifiers in the E/M setting (see “Properly report modifiers -25 and -27 with E/M codes” below).

Click here to get more advice on E/M documentation improvement. Briefings on APCs subscribers have free access to this article in the April issue via their online subscriptions.

 



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