Medical decision-making is one of the key components of E/M code selection. Review the guidelines to ensure correct coding and to improve internal audits.
Q: A patient was admitted to our facility with COVID-19-like symptoms, tested negative for COVID-19. Several days later, however, the patient was retested and found to be positive for COVID-19. Should we query the physician or assign a present on admission (POA) indicator of "no" or "unknown"?
Identifying and appropriately coding present on admission (POA) indicators in COVID-19 patients continues to challenge coders. Use these scenarios to check your knowledge and learn how to improve.
Supporting accurate Hierarchical Condition Category (HCC) capture is essential to success under the growing number of risk-adjusted payment models. With their strong knowledge of coding and documentation guidelines and insight into emerging trends, coders are a key part of that strategy.
Though the adoption of outpatient CDI has been growing steadily over the years, it’s not always easy to prove the return on investment for such efforts.
CPT neurology codes describe advanced techniques to evaluate and treat conditions of the brain, spinal cord, and nerves. This article details CPT coding for three procedural services used to assess neurological symptoms: electroencephalogram, electromyography, and auditory-evoked potentials testing.
