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Medicare Compliance & Reimbursement

Part B Coding Coach:

Stop Forfeiting Level Four and Five E/Ms With 3 PMFSH Tips

Published on Wed Apr 27, 2011

Make your physician's job easier by letting the patient or nurse document the history. If your physician glosses over a patient's past medical, family, and social history (PMFSH), you may be losing up to $69 per E/M. Accurately counting the number of PMFSH items could result in more money for an encounter, because the top-level E/M codes require PMFSH elements. Learn these three quick tips to ensure your physician is capturing, and you're recognizing, every history component the patient mentions. Determine the Level of PMFSH For coding purposes, the history portion of an E/M service requires all three elements -- history of present illness (HPI), review of systems (ROS), and past medical, family and social history (PMFSH). Therefore, the PMFSH helps determine patient history level, which has a great effect on the E/M level you can report. If you do not know the PMFSH level, you will be unable to decide [...]
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