Triesen1
Contributor
I have two questions.
1. If the physician does NOT document the HPI on an established patient, can we bill an E/M level? My thoughts are that you only need 2 of 3 elements to be met to bill but I am not sure.
2. For a new patient, if you list the 3 chronic conditions in the HPI and include there status is that significant enough to get a comprehensive HIP without meeting the 4 or more HPI elements. I know with an established we will meet the exam and MDM as detailed and moderate so we don't generally have to worry about that but with a new patient I was not sure. Thanks!
1. If the physician does NOT document the HPI on an established patient, can we bill an E/M level? My thoughts are that you only need 2 of 3 elements to be met to bill but I am not sure.
2. For a new patient, if you list the 3 chronic conditions in the HPI and include there status is that significant enough to get a comprehensive HIP without meeting the 4 or more HPI elements. I know with an established we will meet the exam and MDM as detailed and moderate so we don't generally have to worry about that but with a new patient I was not sure. Thanks!