ITEMS IN FPM ON TOPIC:
The article, the second in a three-part series, details the section of Medicare's E/M documentation guidelines pertaining to exams and explains how to comply and practice efficiently with them.
The author details Medicare's guidelines for documenting the history portion of E/M visits. Medicare and many private payers use the guidelines to determine whether physicians' documentation supports the level of service they code.
The article describes the quality-improvement tools and strategies the authors used to increase adherence to evidence-based guidelines and improve asthma care in their family medicine clinic.
This article shares one practice's success story with the Physician Quality Reporting Initiative (PQRI) and provides readers with experienced advice and tips on reporting successfully.
The author presents a simple and practical method for performing effective and efficient chart audits to determine whether the practice is coding services accurately and documenting them completely.
Chart notes used to be primarily for doctors, but oh how times have changed.
Outlines an approach to CPT coding for common evaluation and management services that works from medical decision making "backwards" to physical exam and history.
The author, a well-known coding consultant, explains the rules governing CPT coding for evaluation and management services in cases where it makes sense to code on the basis of visit length rather than elements of the history, physical exam, and clinical decision making.
The authors describe how to respond to roadside and in-flight emergencies and address legal issues that may arise.
Unclear terms can weaken medical documentation and confuse your colleagues, and this physician has had enough.