Understanding E/M Coding

HPP Management Group, Corp

Health Care Consultants – Our Services

Understanding E/M Coding

The HPI is made up of eight (8) elements:

·         Location

·         Duration      

·         Timing

·         Associated Signs/Symptoms

·         Context

·         Severity

·         Quality

·         Modifying Factors

The subcomponents of history include:

Ø  Chief Complaint (CC)

Ø  History of Present Illness (HPI)

Ø  Review of Systems (ROS)

Ø  Past Medical, Family, & Social History (PFSH)

There are many rules and guidelines a coder and a physician must be aware of when it comes to appropriately selecting an Evaluation and Management (EM) code and avoiding doubling dipping is one of them.  Double dipping occurs when the same information is used in more than one of the subcomponents of history.

                                                                                           Our Services

·         Billing and Coding

·         HEDIS Guidelines

·         Quality Measures ( Policy & Guidelines )

·         Provider Credentialing

·         Audits ( Medicare & Medicaid )

·         Review of Medical Records

·         Provider Assistance ( Deceased Physician, Relocation or Closing of Practice)

·         Understanding Risk Management

·         Provider Contracting

HPP Management Group, Corp. the titled-holder of Health Plans Path, Corp (HPP) and also the developers of the AccuChecker Product Line is a group of healthcare consultants servicing physicians and payers since 1983.

For More Details:

Paul G. Silverio-Benet

psilben@hppcorp.com  or  psilben@gmail.com

Call Direct: 305-975-1171