Health Information Management

Pay per view: Outpatient documentation improvement

APCs Insider, June 20, 2008

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).

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