Eli's Rehab Report
READER QUESTIONS:
Heads-Up--Physician Should Document HPI
Published on Mon May 08, 2006
Question: If a nurse documents the history of present illness in her notes and the physiatrist documents that he read the notes and agrees, can we count this as the physician's HPI? Or must the physiatrist perform the HPI himself? Answer: According to Medicare's 1995 Documentation Guidelines, the physician must personally perform the HPI during an E/M visit.
Idaho Subscriber
Both the 1995 and 1997 guidelines state that ancillary staff (such as nurses) can perform other E/M history components, such as the review of systems and past family social history, but HPI is not listed among them.
Other Articles in this issue of
Eli's Rehab Report
- 97537 vs 97799:
Here's How to Code Workplace Assessments
Reviewed on April 24, 2014
Don't let state requirements trip you up
- You Be the Coder:
How to Report Wasted Botox Units
Question: How should I bill for the unused amount of Botox as wastage?
Maryland Subscriber
Answer: Many [...] - See How You Fare on This Therapy-Note Quiz
Hint: Pay attention to whether procedures are timed
Therapy coders may think they can code any [...] - OIG Spotlight:
Make Sure You Can Withstand Modifier 59 Scrutiny
Double-check NCCI edits before you append 59--here’s what to look for
The [...] - Not Positive You've Got 59 Down Pat? Test Yourself
Learn to differentiate services in your records using this documentation example
If you still can't determine [...] - READER QUESTIONS:
Eliminate Your E Code Concerns
Question: I know that we're supposed to use E codes for injury claims, but our [...] - READER QUESTIONS:
Heads-Up--Physician Should Document HPI
Question: If a nurse documents the history of present illness in her notes and the [...] - READER QUESTIONS:
Absolutely Get That ABN or Face a Failed Appeal
Question: We recently performed biofeedback training and reported 90911. The insurer denied our claim and [...] - READER QUESTIONS:
Administration Determines Nerve Block Code
Question: What is the correct code for a diagnostic nerve block of the brachial plexus [...] - READER QUESTIONS:
Team Meeting Included With Nursing Facility E/M
Question: After completing subsequent nursing facility care for a patient, I met with her team [...] - READER QUESTIONS:
Finger Modifiers Not Needed but Recommended
Question: I have heard many coding consultants recommend using the Level II site modifiers (such [...] - READER QUESTIONS:
How to Use Modifier KD
Question: Should we put modifier KD on all J codes for pump fills or just [...]
View All
