Documentation, general

Sep 2003 Issue
Understanding When to Use the New Patient E/M Codes [Feature]

The author explains the CPT definition of "new patient" and describes how to document and code new-patient visits in compliance with Medicare's "Documentation Guidelines for Evaluation and Management (E/M) Services."

Jul-Aug 2003 Issue
Encounter Forms for Better Preventive Visits [Feature]

The author describes and provides two preventive visit documentation and reminder tools – one for male patients and one for female patients.

Jun 2003 Issue
Time Is of the Essence: Coding on the Basis of Time for Physician Services [Feature]

The article explains how a physician's time spent providing a service can influence the level of coding in certain situations.

May 2003 Issue
An Update on the E/M Codes and Documentation Guidelines [Getting Paid]

The author explains recent developments surrounding the revision of the documentation guidelines for evaluation and management services.

Apr 2003 Issue
Making Paper Charts More Efficient [Improving Patient Care]

The article explores how simple interventions can save physicians time. For example, the author has improved the efficiency of her practice's lab reporting process by using standard stamped messages in place of writing those messages by hand.

Apr 2003 Issue
The Integrated Summary: A Documentation Tool to Improve Patient Care [Feature]

The author presents his "integrated summary," a paper-based documentation tool that captures the patient's most crucial data on a single page, and explains how it can assist physicians in providing high-quality, efficient care.

Jan 2003 Issue
Coding Better for Better Reimbursement [Feature]

This article discusses the basics of CPT coding for office and hospital visits, giving special attention to the codes family physicians use most (established-patient office visit codes).

Feb 2002 Issue
Test Your Coding Skills [Feature]

This article will test the readers' coding knowledge by asking them to code a number of sample progress notes in the first half of the article and then compare their codes with those recommended by a panel of coding reviewers in the second half of the article.

Feb 2002 Issue
Getting Paid: Wrestling With the System [Editor's Page]

Argues that E/M coding is fundamentally unworkable as a way of determining charges because it functions in a system where incentives are not aligned.

Oct 2001 Issue
How to Get All the 99214s You Deserve [Feature]

The article reviews the coding and documentation requirements for the 99214 office visit code.

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