Pulmonology Coding Alert

Key Elements:

Crosscheck ROS Documentation to Capture Higher Level E/M Opportunities

Hint: Guide your clinician to complete documentation of review of systems. Ensuring your pulmonologist is documenting every aspect of the review of systems (ROS) during E/M encounters is critical to arriving at the right level office visit code. Follow these tips for accurately capturing ROS elements to avoid overcoding or undercoding E/M services. Refresher: The third element of the history [...]
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