Ophthalmology and Optometry Coding Alert

From HPI to PMFSH, we've got the scoop on E/M coding.Part B MACs plan to scrutinize your evaluation and management claims to see if you are billing the proper levels of service. But how can you make sure you are selecting the proper codes?Review this compilation of frequently asked E/M questions and answers to set your practice on the right track for E/M billing success.1. How Do We Calculate HPI?For coding purposes, HPI is the chronological description of development of the present illness from first sign or symptom, or prior encounter, to present. With HPI recording, the provider should document the unique situation of each patient at each encounter to clearly substantiate the medical necessity of the service(s) rendered that day.Depending on the payer, there are seven or eight HPI elements. For Medicare and Medicaid payers, the HPI elements are location, quality, severity, duration, timing, context, modifying factors, and associated [...]