Recently, a physician told me she wasn’t copying from one note and into the current note. She was importing the entire prior note and editing it, … [Read more...]
Can I Get Paid if…I Copy and Paste from a Prior Note
Many health records make it easy to copy and paste from a prior note or import the patient's history. From a coding perspective, is that … [Read more...]
Non Face-to-Face Prolonged Service – 99358
Are you up-to-date on the requirements for non face-to-face prolonged services? This article from Betsy's signature resource Everyday Medical Coding … [Read more...]
Cloning: I Read the News Today, Oh Boy.
Certain medical stories are irresistible to the popular press: ICD-10 external cause codes that are ridiculous (W61.43XD, pecked by a turkey, … [Read more...]
No Chart Left Behind: Deadline to Complete Medical Records
Years ago, I worked with a physician who was chronically behind in dictating his notes. The charts were crammed into boxes by date, lining the walls … [Read more...]
Your HPI: it should be longer than a tweet
The history of the present illness should be longer than a tweet and twice as informative. Any twitter users out there? If so, you know that 140 … [Read more...]
Less is More: Don’t let your EMR run away from you
“My medical assistant populates the past medical, family and social history in every note.” Reading hundreds of medical records each month, I’ve … [Read more...]